Healthcare Provider Details

I. General information

NPI: 1801827506
Provider Name (Legal Business Name): BARBARA SCHULMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 PUTNAM ST
WEST NEWTON MA
02465-2415
US

IV. Provider business mailing address

23 PUTNAM ST
WEST NEWTON MA
02465-2415
US

V. Phone/Fax

Practice location:
  • Phone: 617-969-0186
  • Fax:
Mailing address:
  • Phone: 617-969-0186
  • Fax: 617-558-1182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number59617
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberF4498
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: