Individual
DR. CHRYSALYNE D SCHMULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1153 CENTRE ST STE 4349, JAMAICA PLAIN, MA 02130-3446
(617) 983-4626
Mailing address
BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION, 111 CYPRES, BROOKLINE, MA 02445-0000
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD421829
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
233967
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019632470001
—
PA
Enumeration date
07/11/2006
Last updated
07/05/2012
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