Healthcare Provider Details

I. General information

NPI: 1871556738
Provider Name (Legal Business Name): ARNOLD DOUGLAS SCHELLER JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 06/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 WINTER ST
WALTHAM MA
02451-1433
US

IV. Provider business mailing address

840 WINTER ST
WALTHAM MA
02451-1433
US

V. Phone/Fax

Practice location:
  • Phone: 781-487-9444
  • Fax: 781-487-9499
Mailing address:
  • Phone: 781-487-9444
  • Fax: 781-487-9499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number36908
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number36908
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: