Individual
DR. DENNIS EDWARD SHIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 ELMCREST TER, NORWALK, CT 06850-3937
(203) 853-4200
(203) 854-9285
Mailing address
12 ELMCREST TER, NORWALK, CT 06850-3937
(203) 853-4200
(203) 854-9285
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15022
CT
208800000X
Urology Physician
015022
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001150226
—
CT
01
—
010015022CT01
ANTHEM BC BS
CT
01
—
020665
HEALTHNET
CT
01
—
150220
CONNECTICARE HEALTH PLAN
CT
01
—
340003225
RAILROAD MEDICARE
CT
01
—
4270070
AETNA HEALTH CARE
CT
01
—
ZS919
OXFORD HEALTH PLAN
CT
Enumeration date
09/27/2006
Last updated
05/28/2013
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