Provider Demographics
NPI:1285672576
Name:SCHAUB, CHARLES D III (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:D
Last Name:SCHAUB
Suffix:III
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 1:45 BOXBERRY LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02770-2133
Mailing Address - Country:US
Mailing Address - Phone:508-830-2800
Mailing Address - Fax:
Practice Address - Street 1:275 SANDWICH STREET
Practice Address - Street 2:JORDAN HOSPITAL
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:508-830-2800
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216473207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine