Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 153413 | MA |
N | 2080P0210X | Pediatric Nephrologist | 153413 | MA |
NPI | 1336110741 |
---|---|
Provider Name | Dr. Asher D Schachter |
First Address | Needham, MA 02492-3714 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3190730 | (05) | MA |
G99574 | (02) |