Healthcare Provider Details
I. General information
NPI: 1245673805
Provider Name (Legal Business Name): SHARON HWANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/14/2013
Last Update Date: 10/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 ROCKLAND RD
WILMINGTON DE
19803
US
IV. Provider business mailing address
PO BOX 191
ROCKLAND DE
19732-0191
US
V. Phone/Fax
- Phone: 302-651-4200
- Fax: 302-651-4945
- Phone: 302-651-4200
- Fax: 302-651-4945
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD457740 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0201X |
| Taxonomy | Pediatric Allergy/Immunology Physician |
| License Number | C1-0013324 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: