Healthcare Provider Details

I. General information

NPI: 1730613332
Provider Name (Legal Business Name): EMILY LIND SHERRARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 HYDE PARK
DOYLESTOWN PA
18902-6612
US

IV. Provider business mailing address

701 HYDE PARK
DOYLESTOWN PA
18902-6612
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-8141
  • Fax: 215-345-8173
Mailing address:
  • Phone: 215-345-8141
  • Fax: 215-345-8173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number471039
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: