Shelley Burchsted, MD
Family Medicine in Middletown, CT. Individual provider (NPI-1).
NPI number1235579251
StatusActive
Last updated in NPPESAug 11, 2017
Details
- NPI
- 1235579251
- Entity type
- Individual (NPI-1)
- Name
- Shelley Burchsted
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2013
- Last updated
- Aug 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 56065 | CT | Yes |
| 208M00000X | Hospitalist | 56065 | CT |
Practice location
90 S Main StFamily Residency Program
Middletown, CT 06457-3649
Phone 860-358-6300 · Fax 860-358-9249
Mailing address
90 S Main StFamily Residency Program
Middletown, CT 06457-3649
Phone 860-358-6300 · Fax 860-358-9249
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