Doctor Name: | DR. ANDREW TODD SCHLUSSEL |
NPI Number: | 1588828859 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | DOS-1320 |
Business Practice Address: | 67 Belmont St Suite #201 Worcester, MA - 016052657 |
Business Phone Number: | 5083346441 |
Business Fax Number: | 5083349232 |
Mailing Address: | 67 Belmont St, Suite #201 WORCESTER |
State: | MA |
Postal Code: | 016052657 |
Phone Number: | 5083346441 |
Fax Number: | 5083349232 |
NPI Enumeration Date: | 07/15/2008 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | DOS-1320 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |