Provider Demographics
NPI:1538298427
Name:SCHATZKI, STEFAN C (MD)
Entity Type:Individual
Prefix:
First Name:STEFAN
Middle Name:C
Last Name:SCHATZKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 BASKIN RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-6928
Mailing Address - Country:US
Mailing Address - Phone:617-499-5070
Mailing Address - Fax:
Practice Address - Street 1:MT AUBURN HOSPITAL
Practice Address - Street 2:330 MT AUBURN STREET
Practice Address - City:CAMBIRDGE
Practice Address - State:MA
Practice Address - Zip Code:02238
Practice Address - Country:US
Practice Address - Phone:617-499-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA252532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology