Individual
PRABIN SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610
(203) 384-3000
Mailing address
260 ENGLE ST, APT 4K, ENGLEWOOD, NJ 07631-2426
(201) 417-9613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
052810
CT
390200000X
Student in an Organized Health Care Education/Training Program
052810
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
09/05/2012
Last updated
07/15/2018
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