Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 59597 | MA |
N | 208600000X | Surgeon | 59597 | MA |
N | 2086S0120X | Pediatric Surgery | 59597 | MA |
NPI | 1396734570 |
---|---|
Provider Name | Dr. Jay Jeffrey Schnitzer |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1740084 | UNITED-PBO (01) | MA |
3049337 | (05) | MA |
4151497-004 | CIGNA PAL (01) | MA |
4247402 | AETNA (01) | MA |
728264 | TUFTS HEALTH PLAN (01) | MA |
E28419 | (02) | MA |
E28419157MGH | HPHC-PBO (01) | MA |
E28419MGH | HPHC-ACD (01) | MA |
J09199 | BCBS MA (01) | MA |