Healthcare Provider Details

I. General information

NPI: 1053321851
Provider Name (Legal Business Name): RONALD SCHECHTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 06/11/2021
Certification Date: 06/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 OSLER DR
TOWSON MD
21204-7736
US

IV. Provider business mailing address

6565 N CHARLES ST SUITE 615
BALTIMORE MD
21204-6800
US

V. Phone/Fax

Practice location:
  • Phone: 410-427-2580
  • Fax:
Mailing address:
  • Phone: 410-339-7910
  • Fax: 410-296-7924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0032338
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier468511300
Identifier TypeMEDICAID
Identifier StateMD
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: