Individual
JAY S SCHACHNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 MAIN RD, TIVERTON, RI 02878-4625
(508) 973-9700
(508) 674-7378
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
54312
MA
207RC0000X
Cardiovascular Disease Physician
Primary
MD06705
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022176
BMC HEALTHNET
MA
01
—
0003572
NEIGHBORHOOD HEALTH
MA
01
—
054312
TUFTS HEALTH PLAN
MA
01
—
060016807
RAILROAD MEDICARE
MA
01
—
200744
BLUE CHIP
RI
01
—
2501000
UNITED HEALTH CARE
MA
01
—
3084
HARVARD PILGRIM
MA
01
—
46361
RI BLUE SHIELD
RI
01
—
531911
AETNA US HEALTH CARE
MA
05
—
6191339
—
MA
01
—
J04356
BLUE SHIELD
MA
01
—
JS08267
EDS
RI
01
—
MA0014844
TRICARE
MA
Enumeration date
06/09/2006
Last updated
04/27/2020
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