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
Fax: (617) 726-2167
Website:

Health care specialties

SpecialtyCodeLicense #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 18 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.

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Identifiers

StateTypeNumberIssuer
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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