MEDICARE: MS. SHARON L. SHERMAN L.OM.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AK000568L	PA
2	171100000X	Acupuncturist	OM000001	PA
3	171100000X	Acupuncturist	973	NM

General Provider Information

NPI Number	:	1609908292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON L. SHERMAN L.OM.

Provider Business Mailing Address
First Line	:	1434 DRESHERTOWN RD
Second Line	:
City	:	DRESHER
State	:	PA
Zip	:	19025-1115
Country	:	US
Telephone Number	:	215-247-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 W EVERGREEN AVE
Second Line	:	SUITE 112
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-3324
Country	:	US
Telephone Number	:	215-247-7100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2007
Last Update Date	:	12/01/2010

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