Individual
SHERIN MARY GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1180 NEWFIELD AVE, STAMFORD, CT 06905-1409
(888) 822-8436
(203) 590-8644
Mailing address
12391 SUMMER SPRINGS DR, BOYNTON BEACH, FL 33437-2044
(630) 785-0255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
85-004586
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669718839
NPI
IL
Enumeration date
12/17/2012
Last updated
06/03/2024
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