Healthcare Provider Details

I. General information

NPI: 1992789937
Provider Name (Legal Business Name): SHARON CURLEY WHITNEY P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON CURLEY WHITNEY

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 PARKER HILL AVE
BOSTON MA
02120
US

IV. Provider business mailing address

PO BOX 86
HINGHAM MA
02043-0086
US

V. Phone/Fax

Practice location:
  • Phone: 617-754-6576
  • Fax: 617-754-6420
Mailing address:
  • Phone: 781-749-9071
  • Fax: 781-749-2133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number610
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: