Individual
DR. PAMELA WHITNEY SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRB 2 RADIOLOGICAL ASSOCIATES, BOSTON, MA 02114-2696
(617) 726-8787
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8787
(617) 724-3338
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
78379
MA
2085R0202X
Diagnostic Radiology Physician
78379
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3114040
—
MA
01
—
737714
TUFTS HEALTH PLAN
MA
01
—
J30069
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
07/31/2012
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