Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 72485 | MA |
Y | 207RP1001X | Pulmonary Disease | 72485 | MA |
NPI | 1649252065 |
---|---|
Provider Name | Dr. Oren Schaefer |
First Address | Leominster, MA 01453 |
Second Address | Worcester, MA 01605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2005 |
Last Update Date | 14/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3075141 | (05) | MA |
E76631 | (02) | MA |