Provider Demographics
NPI:1063547602
Name:O'BRIEN, SHARON MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MARIE
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:625 CLARK AVE STE 13
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1438
Mailing Address - Country:US
Mailing Address - Phone:610-265-8566
Mailing Address - Fax:610-878-2620
Practice Address - Street 1:625 CLARK AVE STE 13
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1438
Practice Address - Country:US
Practice Address - Phone:610-265-8566
Practice Address - Fax:610-878-2620
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014489207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine