Provider Demographics
NPI:1013994185
Name:SCHUBERT, PAUL J (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:SCHUBERT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:541 MAIN ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1868
Mailing Address - Country:US
Mailing Address - Phone:781-952-1200
Mailing Address - Fax:781-340-1610
Practice Address - Street 1:541 MAIN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1868
Practice Address - Country:US
Practice Address - Phone:781-952-1200
Practice Address - Fax:781-340-1610
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2007-10-22
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Provider Licenses
StateLicense IDTaxonomies
MA73264207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA073264OtherTUFTS HEALTH PLAN
MA0036425OtherNEIGHBORHOOD HEALTH PLAN
MA300289OtherHARVARD PILGRIM
MA3160394Medicaid
MA50866OtherFALLON COMM HEALTH PLAN
MAJ30638OtherBLUE CROSS BLUE SHIELD
MA300289OtherHARVARD PILGRIM
MAJ30638OtherBLUE CROSS BLUE SHIELD