Individual
JEFFREY D SCHOENGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7060
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15164
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32000731
—
NH
01
—
P00979652
RRMCARE THRU SCEP
NH
Enumeration date
06/19/2008
Last updated
12/15/2011
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