Provider Demographics
NPI:1205930872
Name:SCHNEEBAUM, ANDREA B (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:B
Last Name:SCHNEEBAUM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6 TSIENNETO RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-1584
Mailing Address - Country:US
Mailing Address - Phone:603-216-0400
Mailing Address - Fax:603-216-3800
Practice Address - Street 1:6 TSIENNETO RD
Practice Address - Street 2:SUITE 300
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1584
Practice Address - Country:US
Practice Address - Phone:603-216-0400
Practice Address - Fax:603-216-3800
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2008-10-30
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Provider Licenses
StateLicense IDTaxonomies
NH11106207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30201363Medicaid
NH30201363Medicaid
NHRE6072Medicare ID - Type Unspecified