1528031085 NPI number — MS. KATHERINE ANNE SCHNEIDET MPH

Table of content: MS. KATHERINE ANNE SCHNEIDET MPH (NPI 1528031085)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528031085 NPI number — MS. KATHERINE ANNE SCHNEIDET MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHNEIDET
Provider First Name:
KATHERINE
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528031085
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/22/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
450 BROOKLINE AVENUE SM 331
Provider Second Line Business Mailing Address:
DANA-FABER CANCER INSTITUTE
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02215-5450
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-632-3480
Provider Business Mailing Address Fax Number:
617-632-6811

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44 BINNEY STREET SM331
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-632-3480
Provider Business Practice Location Address Fax Number:
617-632-6811
Provider Enumeration Date:
02/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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