Sharon Lynn Space M.D.

NPI 1134375058 - Pediatrics - 2080P0207X

NPI Details
NPI 1134375058
Gender Female
Enumeration Date 08/12/2008
Last Updated 08/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
565 ASHFORD CENTER RD
ASHFORD CT, 06278-1720, US
Phone (860) 429-3444
Fax (860) 429-1586
Business Location
565 ASHFORD CENTER RD
ASHFORD CT, 06278-1720, US
Phone (860) 429-3444
Fax (860) 429-1586
Toxanomy
Taxonomy Code 2080P0207X
License State Connecticut
License Number 043362
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According to our database, Dr. Sharon Lynn Space M.D. NPI is 1134375058, taxonomy code is 2080P0207X and license number is 043362, license state is located at Connecticut. Sharon Lynn Space M.D. physically located at 565 Ashford Center Rd, Ashford CT, 06278-1720. NPI Number Sharon Lynn Space M.D. has the Individual type.

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1134375058 NPI number is provided on an as is basis without warranty of any kind. 1134375058 is maintained by the National Plan & Provider Enumeration System. The contents of Sharon Lynn Space M.D. are for informational purposes only.