Provider Demographics
NPI:1366455396
Name:POOL, SHARON K (DO)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:K
Last Name:POOL
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:4 FARM SPRINGS RD
Mailing Address - Street 2:PROHEALTH PHYSICIANS
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2573
Mailing Address - Country:US
Mailing Address - Phone:860-284-5200
Mailing Address - Fax:860-284-5333
Practice Address - Street 1:379 NAUBUC AVE
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-1076
Practice Address - Country:US
Practice Address - Phone:860-652-3325
Practice Address - Fax:860-652-0445
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CT000231208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD24138Medicare UPIN