Provider Demographics
NPI:1619140795
Name:SCHUSKY, READ (ND)
Entity Type:Individual
Prefix:DR
First Name:READ
Middle Name:
Last Name:SCHUSKY
Suffix:
Gender:M
Credentials:ND
Other - Prefix:DR
Other - First Name:READ
Other - Middle Name:WEAVER
Other - Last Name:SCHUSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:259 ELM ST
Mailing Address - Street 2:STE 300
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2950
Mailing Address - Country:US
Mailing Address - Phone:617-591-9200
Mailing Address - Fax:
Practice Address - Street 1:259 ELM ST
Practice Address - Street 2:STE 300
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2950
Practice Address - Country:US
Practice Address - Phone:617-591-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000824175F00000X
CT000405175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath