Provider Demographics
NPI:1790085132
Name:FRANK H. SCHILDGEN M.D. P.C.
Entity Type:Organization
Organization Name:FRANK H. SCHILDGEN M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHILDGEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-489-5622
Mailing Address - Street 1:69 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-4842
Mailing Address - Country:US
Mailing Address - Phone:860-489-5622
Mailing Address - Fax:860-482-8181
Practice Address - Street 1:69 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-4842
Practice Address - Country:US
Practice Address - Phone:860-489-5622
Practice Address - Fax:860-482-8181
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANK H. SCHILDGEN M.D. P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT016680207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
200000173Medicare UPIN
CTA68192Medicare PIN