Provider Demographics
NPI:1447427117
Name:SCHUTZBANK, ANDREW MARC (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MARC
Last Name:SCHUTZBANK
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 NORFOLK ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-1423
Mailing Address - Country:US
Mailing Address - Phone:617-396-4672
Mailing Address - Fax:
Practice Address - Street 1:240 NORFOLK ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1423
Practice Address - Country:US
Practice Address - Phone:617-396-4672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA245651207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine