Healthcare Provider Details

I. General information

NPI: 1285959866
Provider Name (Legal Business Name): SHARON OWUSU-DARKO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 04/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST ASB1-3-078
BOSTON MA
02115-6110
US

IV. Provider business mailing address

75 FRANCIS ST ASB1-3-078
BOSTON MA
02115-6110
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-7801
  • Fax:
Mailing address:
  • Phone: 617-732-7801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number244569
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: