Individual
DR. JAY JEFFREY SCHNITZER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
55 FRUIT ST, PEDIATRIC SURGERY, WRN 11, BOSTON, MA 02114-2621
(617) 724-1602
(617) 726-2167
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
59597
MA
2086S0120X
Pediatric Surgery Physician
Primary
59597
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740084
UNITED-PBO
MA
05
—
3049337
—
MA
01
—
4151497-004
CIGNA PAL
MA
01
—
4247402
AETNA
MA
01
—
728264
TUFTS HEALTH PLAN
MA
01
—
E28419157MGH
HPHC-PBO
MA
01
—
E28419MGH
HPHC-ACD
MA
01
—
J09199
BCBS MA
MA
Enumeration date
10/19/2005
Last updated
09/11/2025
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