1417006669 NPI number — MS. ARLENE G SCHIRO NP

Table of content: MS. ARLENE G SCHIRO NP (NPI 1417006669)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417006669 NPI number — MS. ARLENE G SCHIRO NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHIRO
Provider First Name:
ARLENE
Provider Middle Name:
G
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
NP
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:
1417006669
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
356 HIGH STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALPOLE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02081
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-668-7096
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
55 FRUIT STREET
Provider Second Line Business Practice Location Address:
COX 2 PULMONARY AND CRITICAL CARE DEPT
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-726-1250
Provider Business Practice Location Address Fax Number:
617-724-1792
Provider Enumeration Date:
01/09/2007

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: 363L00000X , with the licence number:  139065 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0382370 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: NP3481 . This is a "BLUE CROSS BS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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