Doctor Name: | DR. SHARON LYNN SPACE |
NPI Number: | 1134375058 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 043362 |
Business Practice Address: | 565 Ashford Center Rd Ashford, CT - 062781720 |
Business Phone Number: | 8604293444 |
Business Fax Number: | 8604291586 |
Mailing Address: | 565 Ashford Center Rd, ASHFORD |
State: | CT |
Postal Code: | 062781720 |
Phone Number: | 8604293444 |
Fax Number: | 8604291586 |
NPI Enumeration Date: | 08/12/2008 |
NPI Last Update Date: | 08/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080P0207X |
License Number: | 043362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Pediatric Hematology-Oncology |
Taxonomy Definition: | A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |