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Individual

DAVID M SHARASHENIDZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
50 N 12TH ST, LEMOYNE, PA 17043-1440
(717) 234-2561
(717) 236-1121
Mailing address
50 N 12TH ST, LEMOYNE, PA 17043-1440
(717) 234-2561
(717) 236-1121

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 035644
DC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD456757
PA
207RP1001X
Pulmonary Disease Physician
MD 035644
DC
207RP1001X
Pulmonary Disease Physician
Primary
MD456757
PA

Other

Enumeration date
02/27/2008
Last updated
09/22/2021
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