Individual
BEVERLEY JEANNE SHEARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
333 CEDAR ST, NEW HAVEN, CT 06510
(032) 785-2480
(203) 785-6337
Mailing address
333 CEDAR STREET, PO BOX 208064, LMP3096A, NEW HAVEN, CT 06520
(032) 785-2480
(203) 785-6337
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
182028
NY
2080P0214X
Pediatric Pulmonology Physician
Primary
60460
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01187719
—
NY
Enumeration date
02/09/2006
Last updated
06/29/2018
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