Individual
GREGORY SHIELDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 S MAIN ST, MIDDLETOWN, CT 06457-3649
(860) 344-6300
(860) 344-9249
Mailing address
90 S MAIN ST, MIDDLETOWN, CT 06457-3649
(860) 344-6300
(860) 344-9249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
314251
CT
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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