Provider Demographics
NPI:1316068679
Name:SHARON PEDIATRIC ASSOCIATES
Entity type:Organization
Organization Name:SHARON PEDIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMANEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-364-5523
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:CT
Mailing Address - Zip Code:06069-0157
Mailing Address - Country:US
Mailing Address - Phone:860-364-5523
Mailing Address - Fax:860-364-0544
Practice Address - Street 1:29 HOSPITAL HILL RD
Practice Address - Street 2:SUITE 1400
Practice Address - City:SHARON
Practice Address - State:CT
Practice Address - Zip Code:06069-2095
Practice Address - Country:US
Practice Address - Phone:860-364-5523
Practice Address - Fax:860-364-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty