Provider Demographics
NPI:1275512188
Name:SCHIFFMAN, LAWRENCE S (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:S
Last Name:SCHIFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 NONOTUCK ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1911
Mailing Address - Country:US
Mailing Address - Phone:413-584-9511
Mailing Address - Fax:413-584-4218
Practice Address - Street 1:190 NONOTUCK ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01062-1911
Practice Address - Country:US
Practice Address - Phone:413-584-9511
Practice Address - Fax:413-584-4218
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA43136207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA043136OtherTUFTS
MA6752OtherBMC
MA2122817OtherCIGNA
MA25264OtherHARVARD PILGRIM
MAG14128OtherBCBS MA
MA2076764Medicaid
MA2453994OtherAETNA
MA19805OtherHEALTH NEW ENGLAND
MA431361OtherCONNECTICARE
MA431361OtherCONNECTICARE
G14128Medicare ID - Type Unspecified