Individual
DR. CHARLES S MIRABILE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 UPPER MAIN ST, SHARON, CT 06069
(860) 364-0740
(860) 364-1920
Mailing address
PO BOX 683, 18 UPPER MAIN ST, SHARON, CT 06069
(860) 364-0740
(860) 364-1920
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11903
CT
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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