Individual
JEREMIAH DONALD SCHUUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY STREET, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
043323
CT
207P00000X
Emergency Medicine Physician
231393
MA
207P00000X
Emergency Medicine Physician
Primary
MD11568
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001433234
—
CT
Enumeration date
07/18/2006
Last updated
01/25/2019
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