Provider Demographics
NPI:1306831714
Name:WEISENFELD, SHARI (MD)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:WEISENFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:SCHLOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:199 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3501
Mailing Address - Country:US
Mailing Address - Phone:203-696-3502
Mailing Address - Fax:
Practice Address - Street 1:199 CHERRY ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3501
Practice Address - Country:US
Practice Address - Phone:203-696-3502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT050999207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4236F1Medicare ID - Type Unspecified
NYI29373Medicare UPIN