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Contact Information

SHELBY KOMISAR
1813 PECK LN
CHESHIRE, CT06410-4411
 Phone: 203-980-5192
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for SHELBY KOMISAR · (Female)

NPI Number 1215554845
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2020
Last updated 06/30/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 136489
Hospital affiliation(s) Not Available
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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