Individual
GUNJAN SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 PHOENIX AVE, SUITE 201, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Mailing address
80 PHOENIX AVE, SUITE 201, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045175
CT
208000000X
Pediatrics Physician
045175
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001451757
—
CT
Enumeration date
08/05/2006
Last updated
03/13/2014
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