Provider Demographics
NPI:1447489968
Name:SHARON, JEFFREY D (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:D
Last Name:SHARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5350 PERSHING AVE
Mailing Address - Street 2:APT. 4B
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112
Mailing Address - Country:US
Mailing Address - Phone:732-859-3854
Mailing Address - Fax:
Practice Address - Street 1:660 SOUTH EUCLID AVENUE
Practice Address - Street 2:CAMPUS BOX 8115
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-747-0553
Practice Address - Fax:314-362-7522
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2014-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2009015649207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology