Provider Demographics
NPI:1972787067
Name:COLE, SHAWN M (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:M
Last Name:COLE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:950 CAMPBELL AVENUE, 11 ASCL
Mailing Address - Street 2:VETERANS AFFAIRS CONNECTICUT HEALTHCARE SYSTEM
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516
Mailing Address - Country:US
Mailing Address - Phone:203-932-5711
Mailing Address - Fax:203-937-3428
Practice Address - Street 1:950 CAMPBELL AVENUE, 11 ASCL
Practice Address - Street 2:VETERANS AFFAIRS CONNECTICUT HEALTHCARE SYSTEM
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:203-937-3428
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2009-08-05
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Provider Licenses
StateLicense IDTaxonomies
CT047065207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine