MEDICARE: ZACHARY A SCHWAGER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	274205	MA

General Provider Information

NPI Number	:	1174932446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY A SCHWAGER MD

Provider Business Mailing Address
First Line	:	LAHEY HOSPITAL AND MEDICAL CENTER
Second Line	:	67 S. BEDFORD STREET - DERMATOLOGY DEPARTMENT
City	:	BURLINGTON
State	:	MA
Zip	:	01803-5108
Country	:	US
Telephone Number	:	781-744-5115
Fax Number	:	781-744-5687

Provider Business Practice Location Address
First Line	:	LAHEY HOSPITAL AND MEDICAL CENTER
Second Line	:	67 S. BEDFORD STREET - DERMATOLOGY DEPARTMENT
City	:	BURLINGTON
State	:	MA
Zip	:	01803-5108
Country	:	US
Telephone Number	:	781-744-5115
Fax Number	:	781-744-5687

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2014
Last Update Date	:	08/13/2018

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