Provider Demographics
NPI:1861538431
Name:SCHORE, ANTHONY N (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:N
Last Name:SCHORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:166 WATERBURY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:CT
Mailing Address - Zip Code:06712-1246
Mailing Address - Country:US
Mailing Address - Phone:203-756-6422
Mailing Address - Fax:203-756-2448
Practice Address - Street 1:166 WATERBURY RD STE 104
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:CT
Practice Address - Zip Code:06712-1246
Practice Address - Country:US
Practice Address - Phone:203-756-6422
Practice Address - Fax:203-756-2448
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT47159207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT00800397Medicaid
CTD400003002Medicare PIN