Individual
TODD B SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102
(860) 972-6113
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-6113
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
67636
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D0064256
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
05/10/2006
Last updated
06/11/2021
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