Healthcare Provider Details

I. General information

NPI: 1518923671
Provider Name (Legal Business Name): SHARI LEIGH SENZON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 OLD EAGLE SCHOOL RD
STRAFFORD PA
19087-2544
US

IV. Provider business mailing address

PO BOX 22581
NEW YORK NY
10087-2581
US

V. Phone/Fax

Practice location:
  • Phone: 610-688-3744
  • Fax: 610-688-4490
Mailing address:
  • Phone: 610-482-4795
  • Fax: 856-528-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD059790L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: