Provider Demographics
NPI:1063041507
Name:NOFZIGER, ERICA SHEN (MD, PHD, MBA)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:SHEN
Last Name:NOFZIGER
Suffix:
Gender:F
Credentials:MD, PHD, MBA
Other - Prefix:DR
Other - First Name:ERICA
Other - Middle Name:SHEN
Other - Last Name:NOFZIGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD, MBA
Mailing Address - Street 1:263 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:263 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-0001
Practice Address - Country:US
Practice Address - Phone:860-679-2147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program