Healthcare Provider Details

I. General information

NPI: 1578535423
Provider Name (Legal Business Name): ANDREW JEFFREY SCHUMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 07/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

591 W HOLLIS ST
NASHUA NH
03062-1323
US

IV. Provider business mailing address

591 W HOLLIS ST
NASHUA NH
03062-1323
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-4440
  • Fax:
Mailing address:
  • Phone: 603-577-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number7367
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: