Provider Demographics
NPI:1043646821
Name:DEBORAH LOIS SCHROTER, M.D., LLC
Entity Type:Organization
Organization Name:DEBORAH LOIS SCHROTER, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSCIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LOIS
Authorized Official - Last Name:SCHROTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-776-1224
Mailing Address - Street 1:26 ELM STREET
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510
Mailing Address - Country:US
Mailing Address - Phone:203-776-1224
Mailing Address - Fax:203-776-1225
Practice Address - Street 1:26 ELM STREET
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-776-1224
Practice Address - Fax:203-776-1225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0353432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTG73892Medicare UPIN