Provider Demographics
NPI:1497767271
Name:SCHMITT, MARISA A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARISA
Middle Name:A
Last Name:SCHMITT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:113 AYER RD
Mailing Address - Street 2:
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451-1413
Mailing Address - Country:US
Mailing Address - Phone:978-534-6333
Mailing Address - Fax:978-840-0966
Practice Address - Street 1:100 HOSPITAL RD
Practice Address - Street 2:SUITE 3C
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-2253
Practice Address - Country:US
Practice Address - Phone:978-534-6333
Practice Address - Fax:978-840-0866
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA82158207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G22351Medicare UPIN