Healthcare Provider Details

I. General information

NPI: 1760446025
Provider Name (Legal Business Name): SHELDON KAFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CONCORDE WAY #2
WINDSOR LOCKS CT
06096
US

IV. Provider business mailing address

2 CONCORDE WAY #2
WINDSOR LOCKS CT
06096
US

V. Phone/Fax

Practice location:
  • Phone: 860-627-0224
  • Fax: 860-292-1270
Mailing address:
  • Phone: 860-627-0224
  • Fax: 860-292-1270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number027500
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: