Healthcare Provider Details

I. General information

NPI: 1639204191
Provider Name (Legal Business Name): LONG POND PEDIATRICS AND OSTEOPATHY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 LONG POND RD SUITE 211
PLYMOUTH MA
02360-2642
US

IV. Provider business mailing address

110 LONG POND RD SUITE 211
PLYMOUTH MA
02360-2642
US

V. Phone/Fax

Practice location:
  • Phone: 508-747-1663
  • Fax:
Mailing address:
  • Phone: 508-747-1663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number73414
License Number StateMA

VIII. Authorized Official

Name: DR. SABINE M SCHMITT
Title or Position: OWNER
Credential: D.O
Phone: 508-747-1663