Healthcare Provider Details
I. General information
NPI: 1437316254
Provider Name (Legal Business Name): PATRICIA A. SHEINER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/20/2008
Last Update Date: 06/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
85 SEYMOUR ST SUITE 301
HARTFORD CT
06106-5501
US
IV. Provider business mailing address
85 SEYMOUR ST SUITE 301
HARTFORD CT
06106-5501
US
V. Phone/Fax
- Phone: 860-696-2030
- Fax: 860-549-1476
- Phone: 860-696-2030
- Fax: 860-549-1476
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 198366 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 204F00000X |
| Taxonomy | Transplant Surgery Physician |
| License Number | 050360 |
| License Number State | CT |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 050360 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: