Healthcare Provider Details

I. General information

NPI: 1134213499
Provider Name (Legal Business Name): ALISON D SCHONWALD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

IV. Provider business mailing address

306 MASON TER
BROOKLINE MA
02446-2779
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-4125
  • Fax: 617-730-0252
Mailing address:
  • Phone: 617-734-6662
  • Fax: 617-731-5651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number156500
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number156500
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: