Provider Demographics
NPI:1316046428
Name:SCHLEIN, ALLEN P (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:P
Last Name:SCHLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 CLINTEN AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06605
Mailing Address - Country:US
Mailing Address - Phone:203-336-3526
Mailing Address - Fax:203-335-2968
Practice Address - Street 1:650 CLINTEN AVENUE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06605
Practice Address - Country:US
Practice Address - Phone:203-336-3526
Practice Address - Fax:203-335-2968
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTA15261207X00000X
CA18255207X00000X
NY1148631207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001152610Medicaid
CT200000149Medicare ID - Type Unspecified
CT001152610Medicaid