Individual
MICHAEL JAMES SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
784 E MAIN ST, BRANFORD, CT 06405-2918
(203) 481-7008
(203) 315-2712
Mailing address
784 E MAIN ST, BRANFORD, CT 06405-2918
(203) 481-7008
(203) 315-2712
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
046596
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001628
—
CT
Enumeration date
02/06/2007
Last updated
09/21/2011
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