Individual
JONATHAN RICHARD SCHILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 457-2106
(401) 831-8951
Mailing address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 457-2106
(401) 831-8951
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
12636
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12636
RI FULL MEDICAL LICENSE
RI
01
—
LP 00166
RI LICENSE
RI
Enumeration date
04/10/2007
Last updated
09/23/2011
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