Provider Demographics
NPI:1720341936
Name:MARCUS, SHARON (CMT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MARCUS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:BRODSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:1438 LITTLE RAVEN ST UNIT 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-6210
Mailing Address - Country:US
Mailing Address - Phone:516-849-0537
Mailing Address - Fax:
Practice Address - Street 1:980 GRANT ST
Practice Address - Street 2:100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2907
Practice Address - Country:US
Practice Address - Phone:303-832-3668
Practice Address - Fax:303-861-1403
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2735174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist