Provider Demographics
NPI:1477535268
Name:SCHULMAN, CHARLES LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:LEWIS
Last Name:SCHULMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1101 BEACON ST
Mailing Address - Street 2:SUITE 4E
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5587
Mailing Address - Country:US
Mailing Address - Phone:617-738-1961
Mailing Address - Fax:617-734-2348
Practice Address - Street 1:1101 BEACON ST
Practice Address - Street 2:SUITE 4E
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5587
Practice Address - Country:US
Practice Address - Phone:617-738-1961
Practice Address - Fax:617-734-2348
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2011-08-15
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Provider Licenses
StateLicense IDTaxonomies
MA31601207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA65969Medicare UPIN