Individual
MR. EDWARD GEORGE SCHAEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
18 PRISCILLA CIR, WELLESLEY HILLS, MA 02481-5311
(508) 376-2100
Mailing address
PO BOX 88, MEDFIELD, MA 02052-0088
(508) 376-2100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4729
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37064
HPHC PROVIDER NUMBER
MA
01
—
714390
TUFTS PROVIDER NUMBER
MA
01
—
Y66580
BCBS PROVIDER NUMBER
MA
Enumeration date
01/15/2007
Last updated
04/25/2022
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