Individual
SHARON FORSMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
236 MILFORD ST, UPTON, MA 01568
(508) 473-1015
(508) 634-0261
Mailing address
298 ARMISTICE BLVD, PAWTUCKET, RI 02861-2331
(508) 473-1015
(508) 634-0261
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
PA4241
MA
363AM0700X
Medical Physician Assistant
PA00149
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308313
BCBS
RI
01
—
408244
BLUE CHIP
RI
Enumeration date
05/03/2006
Last updated
07/24/2019
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