Provider Information for 1255872446
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JASON ANDREW SCHNEIDER MD
Sex: Male
NPI: 1255872446
Last Updated: 2024-09-23
Certification Date: 2024-09-23
Certification Date: 2024-09-23
Details
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NPI | 1255872446 | |||||||||||||||||||||
Enumeration Date | 2017-03-20 | |||||||||||||||||||||
NPI Type | NPI-1 Individual | |||||||||||||||||||||
Sole Proprietor | NO | |||||||||||||||||||||
Status | Active | |||||||||||||||||||||
Mailing Address | 263 FARMINGTON AVENUE FARMINGTON, CT 06030-8085 United States Phone: 860-679-2792 | Fax:860-679-1494 | |||||||||||||||||||||
Primary Practice Address | 263 FARMINGTON AVENUE FARMINGTON, CT 06030-8085 United States Phone: 860-679-2792 | Fax:860-679-1494 | |||||||||||||||||||||
Secondary Practice Address(es) | 375 DIXMYTH AVE 9312 WINTON RD | |||||||||||||||||||||
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