Individual
DR. SHELLEY K DRIESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2371 BLACK ROCK TPKE, FAIRFIELD, CT 06825
(203) 371-0141
(203) 371-6585
Mailing address
2371 BLACK ROCK TPKE, FAIRFIELD, CT 06825
(203) 371-0141
(203) 371-6585
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25509
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255090
—
CT
Enumeration date
08/24/2006
Last updated
05/12/2011
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