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NPI Code Detail

MEDICARE: DR. DAVID R SHERWOOD M.D.

MEDICARE: DR. DAVID R SHERWOOD M.D.
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
1207R00000XInternal Medicine Physician019883CT

General Provider Information

NPI Number : 1508865387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID R SHERWOOD M.D.
Provider Business Mailing Address
First Line : 74 MACK ST
Second Line :
City : WINDSOR
State : CT
Zip : 06095-2759
Country : US
Telephone Number : 860-298-8830
Fax Number : 860-298-9929
Provider Business Practice Location Address
First Line : 74 MACK ST
Second Line :
City : WINDSOR
State : CT
Zip : 06095-2759
Country : US
Telephone Number : 860-298-8830
Fax Number : 860-298-9929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 10/17/2007

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Directions to “ DR. DAVID R SHERWOOD M.D.” Practice Location

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