Provider Demographics
NPI:1013917004
Name:SHERMAN, ROBERT E (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3446 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4118
Mailing Address - Country:US
Mailing Address - Phone:203-375-1370
Mailing Address - Fax:203-377-2410
Practice Address - Street 1:3446 MAIN ST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-4118
Practice Address - Country:US
Practice Address - Phone:203-375-1370
Practice Address - Fax:203-377-2410
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000188213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT01000188OtherCIGNA PROVIDER NUMBER
CT10451287OtherCAQH PROVIDER NUMBER
CT000188OtherSTATE LICENSE
CT030000188CT01OtherANTHEM BLUE CROSS BLUE SH
CT188100OtherCONNECTICARE PROVIDER NO.
CT915OtherCT DRUG REG. NUMBER
CT000957OtherHEALTHNET PROVIDER NUMBER
CT000957OtherHEALTHNET PROVIDER NUMBER
CTT22205Medicare UPIN