Individual
DR. COLLEEN SHERKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
863 N MAIN STREET EXT, SUITE 103, WALLINGFORD, CT 06492-2434
(203) 694-5500
(203) 694-5520
Mailing address
863 N MAIN STREET EXT, SUITE 103, WALLINGFORD, CT 06492-2434
(203) 694-5500
(203) 694-5520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051464
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008046671
—
CT
01
—
1073755534
ANTHEM BCBS
CT
Enumeration date
03/30/2009
Last updated
12/16/2013
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