Provider Demographics
NPI:1013940378
Name:SCHACHTER, STEVEN C (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:SCHACHTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:KS-457
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-4460
Mailing Address - Fax:617-667-7919
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:KS-457
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-4460
Practice Address - Fax:617-667-7919
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA490492084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Not Answered2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA049049OtherTUFTS
MAJ02246OtherBLUE CROSS BLUE SHIELD
MAB7420BITOtherHARVARD PILGRIM
MA6177042Medicaid
MAB7420BITOtherHARVARD PILGRIM
MA6177042Medicaid