Provider Demographics
NPI:1063650463
Name:SCHNIPPER, DEBORAH RUTH (MD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:RUTH
Last Name:SCHNIPPER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2000 WASHINGTON ST
Mailing Address - Street 2:SUITE 365
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1650
Mailing Address - Country:US
Mailing Address - Phone:617-244-5355
Mailing Address - Fax:617-244-8662
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:SUITE 365
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1627
Practice Address - Country:US
Practice Address - Phone:617-244-5355
Practice Address - Fax:617-244-8662
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2011-09-12
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Provider Licenses
StateLicense IDTaxonomies
MA249469208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1063650463OtherTUFTS HEALTH PLAN