Healthcare Provider Details

I. General information

NPI: 1730171448
Provider Name (Legal Business Name): CARL W SHARER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 12/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 MAIN ST SUITE 101
PHOENIXVILLE PA
19460-4478
US

IV. Provider business mailing address

824 MAIN ST SUITE 101
PHOENIXVILLE PA
19460-4478
US

V. Phone/Fax

Practice location:
  • Phone: 610-983-1800
  • Fax: 610-983-1799
Mailing address:
  • Phone: 610-983-1800
  • Fax: 610-983-1799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS004283L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberOS004283L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberOS004283L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberOS004283L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: