Individual
OTTO GELAIN SCHOECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 643-2009
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 643-2009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT215284
PA
2085R0202X
Diagnostic Radiology Physician
Primary
1015562
MA
Other
Enumeration date
06/15/2018
Last updated
06/06/2023
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