Provider Demographics
NPI:1053349209
Name:SCHROTER, DEBORAH LOIS (M D)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LOIS
Last Name:SCHROTER
Suffix:
Gender:F
Credentials:M D
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Other - Credentials:
Mailing Address - Street 1:26 ELM ST
Mailing Address - Street 2:FL 3
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-2113
Mailing Address - Country:US
Mailing Address - Phone:203-776-1224
Mailing Address - Fax:203-776-1225
Practice Address - Street 1:17 HILLHOUSE AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6815
Practice Address - Country:US
Practice Address - Phone:203-432-0076
Practice Address - Fax:203-432-7289
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT353432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTG73892Medicare UPIN