MEDICARE: DR. WILLIAM N SCHREIBER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	023066	CT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110167933	OTHER	CT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NHP061	OTHER	CT	OXFORD
3	230660	OTHER	CT	CONNECTICARE
4	010023066CT01	OTHER	CT	BLUE CROSS BLUE SHIELD
5	0Q2056	OTHER	CT	HEALTH NET
6	2047266	OTHER	CT	AETNA

General Provider Information

NPI Number	:	1366441826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM N SCHREIBER MD

Provider Business Mailing Address
First Line	:	9 WASHINGTON AVE
Second Line	:	2ND FLOOR
City	:	HAMDEN
State	:	CT
Zip	:	06518-3267
Country	:	US
Telephone Number	:	203-248-3013
Fax Number	:	203-248-2878

Provider Business Practice Location Address
First Line	:	1 BRADLEY RD
Second Line	:	SUITE 709
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-2285
Country	:	US
Telephone Number	:	203-397-3950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	10/17/2011

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