Provider Demographics
NPI:1982958492
Name:TOKARZ, SHARON (PA)
Entity Type:Individual
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First Name:SHARON
Middle Name:
Last Name:TOKARZ
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:35 TALCOTTVILLE RD
Mailing Address - Street 2:STE 5
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-5261
Mailing Address - Country:US
Mailing Address - Phone:860-896-1422
Mailing Address - Fax:860-896-1425
Practice Address - Street 1:2800 TAMARACK AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-5539
Practice Address - Country:US
Practice Address - Phone:860-648-4480
Practice Address - Fax:860-648-2132
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2019-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT002838363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT8055OtherLAST FOUR OF SOCIAL