Individual
DR. JEROLD M SHARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 NEW MEXICO AVE NW, WASHINGTON, DC 20016-3612
(202) 244-0060
(202) 362-6907
Mailing address
PO BOX 1400, FAIRFAX, VA 22038-1400
(703) 383-9543
(703) 383-9532
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD21208
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026973300
—
DC
01
—
460002434
RR MEDICARE
—
Enumeration date
03/21/2006
Last updated
12/31/2018
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