Individual
STEVEN C SHIFREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 FARMINGTON AVE, HARTFORD, CT 06105
(860) 570-3400
(860) 570-0750
Mailing address
645 FARMINGTON AVE, HARTFORD, CT 06105
(860) 570-3400
(860) 570-0750
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
025728
CT
225100000X
Physical Therapist
025728
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001257286
—
CT
Enumeration date
11/09/2006
Last updated
05/23/2011
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