Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 73264 | MA |
N | 207RI0011X | Interventional Cardiology | 73264 | MA |
NPI | 1013994185 |
---|---|
Provider Name | Dr. Paul J. Schubert |
First Address | South Weymouth, MA 02190-1868 |
Second Address | South Weymouth, MA 02190-1868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 22/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0036425 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
073264 | TUFTS HEALTH PLAN (01) | MA |
300289 | HARVARD PILGRIM (01) | MA |
3160394 | (05) | MA |
50866 | FALLON COMM HEALTH PLAN (01) | MA |
F04038 | (02) | MA |
J30638 | BLUE CROSS BLUE SHIELD (01) | MA |