Healthcare Provider Details

I. General information

NPI: 1174725071
Provider Name (Legal Business Name): JANELL ALDEN SHERR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANELL MARIE ALDEN MD

II. Dates (important events)

Enumeration Date: 06/03/2007
Last Update Date: 06/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 CAMPUS DR SUITE 3215
STANFORD CA
94305-5101
US

IV. Provider business mailing address

269 CAMPUS DR SUITE 3215
STANFORD CA
94305-5101
US

V. Phone/Fax

Practice location:
  • Phone: 650-498-6073
  • Fax: 650-498-6077
Mailing address:
  • Phone: 650-498-6073
  • Fax: 650-498-6077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA119544
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberA119544
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: