Individual
DR. SHERIDAN WEAR CULVAHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
159 W PUTNAM AVE, GREENWICH, CT 06830-5329
(203) 869-7080
(203) 869-7034
Mailing address
23 MAHER AVE, GREENWICH, CT 06830-5616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
027129
CT
174400000X
Specialist
208181-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010027129CT01
ANTHEM BCBS OF CT
CT
01
—
027129
CONNECTICARE
CT
01
—
566356
AETNA
CT
01
—
CU7245
HEALTHNET
CT
01
—
P2219404
OXFORD
CT
Enumeration date
02/22/2006
Last updated
07/08/2007
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