# SHARON OBSTETRICAL,GYNECOLOGICAL,MEDICAL SURGICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174824882
- **Authorized official:** ANN CASSESE (MANAGER)
- **Authorized official phone:** (860) 364-0536

## Contact information

- **Practice address:** 2510 ROUTE 44 STE 5, SALT POINT, NY 12578-8041
- **Practice address phone:** (860) 364-0536
- **Practice address fax:** (860) 364-1299
- **Mailing address:** 2510 ROUTE 44 STE 5, SALT POINT, NY 12578-8041
- **Mailing address phone:** (860) 364-0536
- **Mailing address fax:** (860) 364-1299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 154156-1 | NY | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 164036-1 | NY | — |
| 207V00000X | Obstetrics & Gynecology Physician | 167955-1 | NY | — |
| 207V00000X | Obstetrics & Gynecology Physician | 212348-1 | NY | — |
| 208600000X | Surgery Physician | 185676 | NY | — |
| 208600000X | Surgery Physician | 244135 | NY | — |

## Other

- **Enumeration date:** 11/11/2010
- **Last updated:** 11/11/2010