Healthcare Provider Details

I. General information

NPI: 1497759294
Provider Name (Legal Business Name): FRANKLIN SCHNEIDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1076 NORTH MAIN STREET
PROVIDENCE RI
02904
US

IV. Provider business mailing address

200 MILL ROAD SUITE 180
FAIRHAVEN MA
02719-5252
US

V. Phone/Fax

Practice location:
  • Phone: 401-273-2460
  • Fax: 401-273-2489
Mailing address:
  • Phone: 508-973-2000
  • Fax: 508-973-2002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD09182
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number73509
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: