NPI 1134458748

Stuart Schneller

Organisation Specialist Brighton, MA

Practice location

Address: 736 Cambridge St Ccp-9, Brighton, MA 02135-2907
Phone: (617) 787-5111
Fax: (617) 787-5150

Authorised official

Name: Stuart Joel Schneller
Title: Sole Proprietor
Phone: (617) 787-5111

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 41617 (MA)

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Registry record

NPI: 1134458748
Entity type: Organization
NPI issued: 10 Dec 2009
Record last updated: 10 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.