Individual
DR. SHARMELLE HIGHBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
805 ATLANTIC ST, STAMFORD, CT 06902-6805
(203) 327-5111
(203) 327-2991
Mailing address
805 ATLANTIC ST, STAMFORD, CT 06902-6805
(203) 327-5111
(203) 327-2991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
045740
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045740
STATE LICENSE
CT
Enumeration date
03/20/2007
Last updated
07/20/2010
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