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NPI Code Detail

MEDICARE: ESSIE REED-SCHRADER

MEDICARE:   ESSIE  REED-SCHRADER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician288670NY
2390200000XStudent in an Organized Health Care Education/Training Program
3207P00000XEmergency Medicine PhysicianMD463729PA

General Provider Information

NPI Number : 1073923603
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESSIE REED-SCHRADER
Provider Business Mailing Address
First Line : 100 ST LUKES LN
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-6217
Country : US
Telephone Number : 272-212-1000
Fax Number : 272-212-0201
Provider Business Practice Location Address
First Line : 100 ST LUKES LN
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-6217
Country : US
Telephone Number : 272-212-1000
Fax Number : 272-212-0201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2014
Last Update Date : 07/28/2024

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Directions to “ ESSIE REED-SCHRADER ” Practice Location

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