Individual
DR. JEFFREY C SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 NASHUA ST, BOSTON, MA 02114-1198
(617) 573-2200
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 573-2200
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
223643
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100487
—
MA
01
—
468101
TUFTS HEALTH PLAN
MA
01
—
J28543
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
07/24/2012
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