Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 53204 | CT |
N | 2084N0600X | Clinical Neurophysiologist | 53204 | CT |
NPI | 1356503585 |
---|---|
Provider Name | Dr. Mark Linderman Schomer |
First Address | Hartford, CT 06106-3322 |
Second Address | Hartford, CT 06106-3322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 15/08/2014 |