Healthcare Provider Details

I. General information

NPI: 1043389893
Provider Name (Legal Business Name): WILLIAM J SCHLORFF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E CENTRAL AVE
JERSEY SHORE PA
17740-6979
US

IV. Provider business mailing address

345 E CENTRAL AVE
JERSEY SHORE PA
17740-6979
US

V. Phone/Fax

Practice location:
  • Phone: 570-753-4335
  • Fax: 570-753-3608
Mailing address:
  • Phone: 570-753-4335
  • Fax: 570-753-3608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WILLIAM SCHLORFF
Title or Position: PODIATRIST
Credential: DPM
Phone: 570-753-4335