Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 237036 | MA |
N | 2080P0208X | Pediatric Infectious Diseases | 45616 | MN |
NPI | 1083873566 |
---|---|
Provider Name | Sandra Schumacher |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 26/10/2020 |