Schnitzer, Jay Jeffrey
Schnitzer, Jay Jeffrey is an individual health care provider with primary practice located at 55 Fruit St Pediatric Surgery, Wrn 11, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Schnitzer, Jay Jeffrey can be contacted via phone (617) 724-1602.Contact Information
Primary practice address
55 Fruit St Pediatric Surgery, Wrn 11
Boston MA 02114-2621
Phone: (617) 724-1602
Fax: (617) 726-2167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 59597 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 59597 | Massachusetts |
Profile Details
| NPI number | 1396734570 |
|---|---|
| LBN Legal business name | Schnitzer, Jay Jeffrey |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396734570 | NPPES |
| Massachusetts | Other | 4247402 | AETNA |
| Massachusetts | Other | J09199 | AETNA |
| Massachusetts | Other | 1740084 | AETNA |
| Massachusetts | MEDICAID | 3049337 | AETNA |
| Massachusetts | Other | 4151497-004 | AETNA |
| Massachusetts | Other | E28419157MGH | AETNA |
| Massachusetts | Other | E28419MGH | AETNA |
| Massachusetts | Other | 728264 | AETNA |
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