Individual
DR. DETLEF B SCHUPPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-2371
Mailing address
12 CHESTNUT HILL TER, NEWTON, MA 02467-1350
(617) 667-2371
(617) 667-2767
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
233280
MA
Other
Enumeration date
01/06/2006
Last updated
02/26/2008
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