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DR. SHARON LYNN SPACE M.D.

Pediatric Hematology-Oncology >> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1134375058

Individual Registrant:
DR. SHARON LYNN SPACE M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
565 ASHFORD CENTER RD  ASHFORD, CT 06278-1720 US
Tel: 860-429-3444  Fax: 860-429-1586

Contact information for business:
565 ASHFORD CENTER RD  ASHFORD, CT 06278-1720 US
Tel: 860-429-3444  Fax: 860-429-1586

Registration Information:
NPI: 1134375058
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080P0207XAllopathic & Osteopathic Physicians
Pediatrics
Pediatric Hematology-Oncology
CT043362

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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