Healthcare Provider Details

I. General information

NPI: 1518166883
Provider Name (Legal Business Name): STEVEN EDWARD SCHUTZER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 S ORANGE AVE UMDNJ-MSB E543
NEWARK NJ
07103-2757
US

IV. Provider business mailing address

185 SOUTH ORANGE AVE UMDNJ-MSB E543
NEWARK NJ
07103
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-4872
  • Fax:
Mailing address:
  • Phone: 973-972-4872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberMA 48858
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: