Provider Demographics
NPI:1790798650
Name:SCHACHTER, ANDREW B (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:B
Last Name:SCHACHTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4 FARM SPRINGS RD
Mailing Address - Street 2:PROHEALTH PHYSICIANS
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2573
Mailing Address - Country:US
Mailing Address - Phone:860-284-5200
Mailing Address - Fax:860-284-5333
Practice Address - Street 1:1260 SILAS DEANE HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-4362
Practice Address - Country:US
Practice Address - Phone:860-529-6218
Practice Address - Fax:860-721-7168
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CT024734207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD02935Medicare UPIN