Individual
MISS SHARON MARIE CHRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
540 SAYBROOK RD, MIDDLETOWN, CT 06457-4711
(860) 358-2780
(860) 358-2781
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
38326
CT
207NS0135X
Procedural Dermatology Physician
038326
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010038326CT02
BCBS
CT
01
—
070014961
RAILROAD MEDICARE
—
01
—
0V7245
HEALTH NET
—
01
—
150894
CONNECTICARE
—
01
—
2340445
AETNA
—
01
—
401367
HARVARD PILGRIM
—
01
—
P2064320
OXFORD
—
Enumeration date
08/09/2005
Last updated
07/11/2024
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