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NPI Code Detail

MEDICARE: DR. ROBERT I. SCHAFFER M.D.1

MEDICARE: DR. ROBERT I. SCHAFFER M.D.1
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
1207Y00000XOtolaryngology Physician35038355OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457331787
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT I. SCHAFFER M.D.1
Provider Business Mailing Address
First Line : 8560 BAYBERRY DR NE
Second Line :
City : WARREN
State : OH
Zip : 44484-1609
Country : US
Telephone Number : 330-856-5244
Fax Number : 330-856-4601
Provider Business Practice Location Address
First Line : 5000 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44484-2259
Country : US
Telephone Number : 330-856-2212
Fax Number : 330-856-2668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 12/20/2007

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