Provider Demographics
NPI:1194951434
Name:SHEEHAN, JULIANN WILLIAMS (MD)
Entity type:Individual
Prefix:
First Name:JULIANN
Middle Name:WILLIAMS
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JULIANN
Other - Middle Name:THERESA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 GRAND ST
Mailing Address - Street 2:THE HOSPITAL OF CENTRAL CONNECTICUT
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-2016
Mailing Address - Country:US
Mailing Address - Phone:860-224-5691
Mailing Address - Fax:860-224-5795
Practice Address - Street 1:100 GRAND ST
Practice Address - Street 2:THE HOSPITAL OF CENTRAL CONNECTICUT
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-2016
Practice Address - Country:US
Practice Address - Phone:860-224-5691
Practice Address - Fax:860-224-5795
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT543172080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine