Provider Demographics
NPI:1174218150
Name:WHARTON, ALLISON
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:WHARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8959 RESERVOIR RD
Mailing Address - Street 2:
Mailing Address - City:GERMANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18053-2730
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8959 RESERVOIR RD
Practice Address - Street 2:
Practice Address - City:GERMANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18053-2730
Practice Address - Country:US
Practice Address - Phone:484-707-0002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay