MEDICARE: DR. AMY H SHERMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	57783	MA
2	2085R0202X	Diagnostic Radiology Physician	MD14380	RI
3	2085R0202X	Diagnostic Radiology Physician	029608	CT

General Provider Information

NPI Number	:	1144212481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY H SHERMAN MD

Provider Business Mailing Address
First Line	:	32 STRAWBERRY HILL CT FL 2
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-2594
Country	:	US
Telephone Number	:	203-276-7465
Fax Number	:	203-276-4047

Provider Business Practice Location Address
First Line	:	32 STRAWBERRY HILL CT FL 2
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-2594
Country	:	US
Telephone Number	:	203-276-7465
Fax Number	:	203-276-4047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	07/21/2022

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