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NPI Code Detail

MEDICARE: SHARON ANN CLINE MD

MEDICARE:   SHARON ANN CLINE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD073621LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001629028OTHERPAHIGHMARK BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
350056053OTHERPABLUE CROSS/ CAIC

General Provider Information

NPI Number : 1811959828
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON ANN CLINE MD
Provider Business Mailing Address
First Line : PO BOX 783311
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-3311
Country : US
Telephone Number : 484-884-4500
Fax Number : 484-884-0699
Provider Business Practice Location Address
First Line : 1337 BLUE VALLEY DR STE 7
Second Line :
City : PEN ARGYL
State : PA
Zip : 18072
Country : US
Telephone Number : 610-654-1270
Fax Number : 610-654-1271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 06/29/2018

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Directions to “ SHARON ANN CLINE MD” Practice Location

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