Healthcare Provider Details

I. General information

NPI: 1356326227
Provider Name (Legal Business Name): STUART B SCHNITZER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2253 SOUTH AVE
SCOTCH PLAINS NJ
07076-4688
US

IV. Provider business mailing address

2253 SOUTH AVE
SCOTCH PLAINS NJ
07076-4688
US

V. Phone/Fax

Practice location:
  • Phone: 908-233-1903
  • Fax: 908-233-1909
Mailing address:
  • Phone: 908-233-1903
  • Fax: 908-233-1909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberMD000881
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: