Individual
JOHN T SCHULZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT STREET, GRB 1300, BOSTON, MA 02114-2696
(617) 726-3712
(617) 726-4127
Mailing address
55 FRUIT STREET, GRB 1300, BOSTON, MA 02114-2696
(617) 726-3712
(617) 726-4127
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
043880
CT
208600000X
Surgery Physician
Primary
154933
MA
2086S0127X
Trauma Surgery Physician
043880
CT
2086S0127X
Trauma Surgery Physician
267445
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001438804
—
CT
05
—
03688731
—
NY
Enumeration date
03/22/2006
Last updated
02/14/2020
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