Provider Demographics
NPI:1477133742
Name:SCHUSTER, DOUGLAS KRISTIAN (DO, MPH)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:KRISTIAN
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3055 16TH ST NW APT 302
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-4286
Mailing Address - Country:US
Mailing Address - Phone:203-915-7376
Mailing Address - Fax:
Practice Address - Street 1:452 OLD STREET RD
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1295
Practice Address - Country:US
Practice Address - Phone:603-924-7191
Practice Address - Fax:603-924-9586
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH34587207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine