MEDICARE: MR. SHELDON KAFER 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
1	173000000X	Legal Medicine
2	207R00000X	Internal Medicine Physician	027500	CT

General Provider Information

NPI Number	:	1760446025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHELDON KAFER M.D.

Provider Business Mailing Address
First Line	:	2 CONCORDE WAY
Second Line	:	#2
City	:	WINDSOR LOCKS
State	:	CT
Zip	:	06096
Country	:	US
Telephone Number	:	860-627-0224
Fax Number	:	860-292-1270

Provider Business Practice Location Address
First Line	:	2 CONCORDE WAY
Second Line	:	#2
City	:	WINDSOR LOCKS
State	:	CT
Zip	:	06096
Country	:	US
Telephone Number	:	860-627-0224
Fax Number	:	860-292-1270

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	03/27/2013

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