Healthcare Provider Details

I. General information

NPI: 1194898577
Provider Name (Legal Business Name): JOSHUA M. SHARFSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W PRESTON ST
BALTIMORE MD
21201-2301
US

IV. Provider business mailing address

5820 PIMLICO RD
BALTIMORE MD
21209-4203
US

V. Phone/Fax

Practice location:
  • Phone: 410-767-4639
  • Fax:
Mailing address:
  • Phone: 410-664-9511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0057925
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD32886
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: