Healthcare Provider Details

I. General information

NPI: 1023003043
Provider Name (Legal Business Name): SHARON M SOWINSKI-MUELLER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 08/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1939 CHELTENHAM AVE
ELKINS PARK PA
18976-2906
US

IV. Provider business mailing address

1939 CHELTENHAM AVE
ELKINS PARK PA
19027-2906
US

V. Phone/Fax

Practice location:
  • Phone: 215-884-5715
  • Fax: 215-884-1142
Mailing address:
  • Phone: 215-884-5715
  • Fax: 215-884-1442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number05012738
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: