Individual
JONATHAN SCOT SCHREIBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BARNARD LANE, SUITE 102, BLOOMFIELD, CT 06002
(860) 243-1889
(860) 243-5733
Mailing address
1 BARNARD LANE, SUITE 102, BLOOMFIELD, CT 06002
(860) 243-1889
(860) 243-5733
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
034529
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001345299
—
CT
Enumeration date
06/30/2005
Last updated
01/09/2012
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