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Contact Information

COLLEEN SHERKOW, MD
863 N MAIN STREET EXT
SUITE 103
WALLINGFORD, CT06492-2434
 Phone: 203-694-5500
 Fax: 203-694-5520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COLLEEN SHERKOW · (Female)

NPI # 1073755534
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2009
Last updated 12/16/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 051464
  • CT Medicaid 008046671
  • CT Other 1073755534 ANTHEM BCBS
Hospital affiliation(s)
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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