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NPI Code Detail

MEDICARE: MR. EDWARD GEORGE SCHAEFFER MSPT

MEDICARE:  MR. EDWARD GEORGE SCHAEFFER  MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist4729MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
137064OTHERMAHPHC PROVIDER NUMBER
2Y66580OTHERMABCBS PROVIDER NUMBER
3714390OTHERMATUFTS PROVIDER NUMBER

General Provider Information

NPI Number : 1902957186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD GEORGE SCHAEFFER MSPT
Provider Business Mailing Address
First Line : PO BOX 88
Second Line :
City : MEDFIELD
State : MA
Zip : 02052-0088
Country : US
Telephone Number : 508-376-2100
Fax Number :
Provider Business Practice Location Address
First Line : 18 PRISCILLA CIR
Second Line :
City : WELLESLEY HILLS
State : MA
Zip : 02481-5311
Country : US
Telephone Number : 508-376-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 04/25/2022

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Directions to “ MR. EDWARD GEORGE SCHAEFFER MSPT” Practice Location

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