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NPI Code Detail

MEDICARE: SHERINE SOLOMON NP

MEDICARE:   SHERINE  SOLOMON  NP
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
1363LF0000XFamily Nurse Practitioner9323CT
2363LF0000XFamily Nurse PractitionerRN2295498MA

General Provider Information

NPI Number : 1336523406
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERINE SOLOMON NP
Provider Business Mailing Address
First Line : 406 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-1964
Country : US
Telephone Number : 860-696-2240
Fax Number : 860-276-9885
Provider Business Practice Location Address
First Line : 406 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-1964
Country : US
Telephone Number : 860-696-2240
Fax Number : 860-276-9885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2015
Last Update Date : 12/01/2025

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