Healthcare Provider Details

I. General information

NPI: 1942363536
Provider Name (Legal Business Name): MARK SCHECHTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 HIGHLAND AVE
SALEM MA
01970-2714
US

IV. Provider business mailing address

24 OAK HILL RD
NEEDHAM MA
02492-4032
US

V. Phone/Fax

Practice location:
  • Phone: 978-354-4010
  • Fax: 978-862-6101
Mailing address:
  • Phone: 781-444-4912
  • Fax: 781-444-4912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number59183
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: