Provider Demographics
NPI:1922052661
Name:SCHATZ, MICHAEL N (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:N
Last Name:SCHATZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 HOSPITAL RD
Mailing Address - Street 2:SUITE 1 B
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-2253
Mailing Address - Country:US
Mailing Address - Phone:978-466-4550
Mailing Address - Fax:978-466-4507
Practice Address - Street 1:80 ERDMAN WAY
Practice Address - Street 2:SUITE 315
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-1840
Practice Address - Country:US
Practice Address - Phone:978-466-4550
Practice Address - Fax:978-466-4507
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA32504207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2000083Medicaid
MA2000083Medicaid
B97580Medicare UPIN