Individual
CATHERINE SHAFTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
54 REYNOLDS ST, DANIELSON, CT 06239-2917
(860) 774-7501
(860) 779-2191
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
045704
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008017121
—
CT
Enumeration date
08/17/2006
Last updated
06/12/2013
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