Individual
RAYMOND SCHOONMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 358-6878
(860) 358-6412
Mailing address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 358-6878
(860) 358-6412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021654
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
021654
CT
207RP1001X
Pulmonary Disease Physician
Primary
021654
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001216549
—
CT
Enumeration date
11/29/2005
Last updated
10/09/2009
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