Provider Demographics
NPI:1598723124
Name:SCHIFF, STEPHEN FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FRANK
Last Name:SCHIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:320 POMFRET ST
Mailing Address - Street 2:CSB 2
Mailing Address - City:PUTNAM
Mailing Address - State:CT
Mailing Address - Zip Code:06260-1836
Mailing Address - Country:US
Mailing Address - Phone:860-928-6541
Mailing Address - Fax:860-963-6450
Practice Address - Street 1:320 POMFRET ST
Practice Address - Street 2:CSB 2
Practice Address - City:PUTNAM
Practice Address - State:CT
Practice Address - Zip Code:06260-1836
Practice Address - Country:US
Practice Address - Phone:860-928-6541
Practice Address - Fax:860-963-6450
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT28705208800000X
RIRI8242208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI0004125228OtherAETNA
RI1900147OtherUNITED HEALTH CARE
RI10058OtherNEIGHBORHOOD HEALTH PLAN
CTD400506349OtherMEDICARE
CT001287053Medicaid
RI008242OtherTIFTS
RI202809OtherBLUE CHIP
RI27180OtherHARVARD PILGRIM HEALTH CA
RI25692OtherBLUE CROSS BLUE SHIELD RH
RIB98884Medicare UPIN