Healthcare Provider Details

I. General information

NPI: 1164462578
Provider Name (Legal Business Name): ALAN M. SCHINDLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 03/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E OLNEY AVE SUITE 400
PHILADELPHIA PA
19120-2421
US

IV. Provider business mailing address

5501 OLD YORK RD
PHILADELPHIA PA
19141-3018
US

V. Phone/Fax

Practice location:
  • Phone: 215-456-7000
  • Fax: 215-254-2599
Mailing address:
  • Phone: 215-456-7170
  • Fax: 215-254-2599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberMD021807E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD021807E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: