Individual
MARK SCHIFFMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
140 GRANDVIEW AVE, WATERBURY, CT 06708-2505
(203) 757-7000
(203) 591-1473
Mailing address
161 OLD FARMS RD, WATERTOWN, CT 06795-1547
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
030670
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13067404
—
CT
Enumeration date
07/26/2006
Last updated
07/08/2007
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