Provider Demographics
NPI:1437385168
Name:BOGER, AMY SCHAFER (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:SCHAFER
Last Name:BOGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 OLD PICKARD RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-4727
Mailing Address - Country:US
Mailing Address - Phone:978-371-7416
Mailing Address - Fax:
Practice Address - Street 1:243 OLD PICKARD RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4727
Practice Address - Country:US
Practice Address - Phone:978-371-7416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA70521208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics