Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 271851 | MA |
NPI | 1205196896 |
---|---|
Provider Name | Dr. Edward G Schleyer |
First Address | Beverly, MA 01915 |
Second Address | Beverly, MA 01915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2012 |
Last Update Date | 15/09/2021 |