Healthcare Provider Details
I. General information
NPI: 1528099256
Provider Name (Legal Business Name): SHARON SWIERCZYNSKI M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
169 MARTIN AVE
EPHRATA PA
17522-1734
US
IV. Provider business mailing address
601 MEMORY LN
YORK PA
17402-2231
US
V. Phone/Fax
- Phone: 717-738-6114
- Fax: 717-738-6533
- Phone: 717-851-1405
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0101X |
| Taxonomy | Anatomic Pathology Physician |
| License Number | MD422996 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | D62910 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: