Individual
MS. SHARA ROSE BIALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1280 ALMONESSON ROAD, DEPTFORD, NJ 08096-5502
(856) 537-7060
(856) 805-9370
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
25MA09880800
NJ
2080P0205X
Pediatric Endocrinology Physician
C1-0011723
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103170259
—
PA
05
—
7772050-00
—
MD
Enumeration date
03/30/2009
Last updated
04/14/2017
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