Healthcare Provider Details
I. General information
NPI: 1245247709
Provider Name (Legal Business Name): HAROLD S. SCHELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/01/2006
Last Update Date: 04/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
850 BEAR TAVERN ROAD SUITE 309
EWING NJ
08628-1018
US
IV. Provider business mailing address
P.O. BOX 8500-7422
PHILADELPHIA PA
19178-7422
US
V. Phone/Fax
- Phone: 609-392-8100
- Fax: 609-695-6202
- Phone: 609-815-7810
- Fax: 609-815-7814
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | MA30485 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: