Healthcare Provider Details

I. General information

NPI: 1265538037
Provider Name (Legal Business Name): LAWRENCE SCHAFFZIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 CROYDEN RD
CHELTENHAM PA
19012-1612
US

IV. Provider business mailing address

225 SUNSET RD
WILLINGBORO NJ
08046-1109
US

V. Phone/Fax

Practice location:
  • Phone: 215-805-4078
  • Fax:
Mailing address:
  • Phone: 609-877-2800
  • Fax: 609-877-1813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25MA05297300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: