Provider Demographics
NPI:1811959828
Name:CLINE, SHARON ANN (MD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:CLINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ANN
Other - Last Name:HARLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:1337 BLUE VALLEY DR STE 7
Practice Address - Street 2:
Practice Address - City:PEN ARGYL
Practice Address - State:PA
Practice Address - Zip Code:18072
Practice Address - Country:US
Practice Address - Phone:610-654-1270
Practice Address - Fax:610-654-1271
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073621L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001629028OtherHIGHMARK BLUE SHIELD
PA100977750003Medicaid
PA50056053OtherBLUE CROSS/ CAIC
PA001629028OtherHIGHMARK BLUE SHIELD
PA50056053OtherBLUE CROSS/ CAIC