Doctor Name: | MARK FRANCIS SCHULTZ |
NPI Number: | 1821391194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2056 |
Business Practice Address: | 1 Stadler St Belchertown, MA - 010079448 |
Business Phone Number: | 5088679835 |
Business Fax Number: | |
Mailing Address: | 1 Stadler St, BELCHERTOWN |
State: | MA |
Postal Code: | 010079448 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/08/2010 |
NPI Last Update Date: | 12/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 2056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |