Healthcare Provider Details

I. General information

NPI: 1124096797
Provider Name (Legal Business Name): MATTHEW E SCHULTZ PAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 LEHIGH ST STE 102
ALLENTOWN PA
18103-7001
US

IV. Provider business mailing address

3440 LEHIGH ST STE 102
ALLENTOWN PA
18103-7001
US

V. Phone/Fax

Practice location:
  • Phone: 484-822-5900
  • Fax: 866-672-9882
Mailing address:
  • Phone: 484-822-5900
  • Fax: 866-672-9882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA052301
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: