Healthcare Provider Details

I. General information

NPI: 1821088337
Provider Name (Legal Business Name): MICHAEL A SCHWARZSCHILD MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 11/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 PARKMAN ST WAC 835 NEUROLOGY ASSOCIATES
BOSTON MA
02114-3117
US

IV. Provider business mailing address

PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN MA
02129-9142
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-5532
  • Fax: 617-724-1480
Mailing address:
  • Phone: 617-724-0287
  • Fax: 617-726-2894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number80032
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: