Healthcare Provider Details

I. General information

NPI: 1699770800
Provider Name (Legal Business Name): DEBRA ANN SCHOCHER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8019 CASTOR AVE
PHILADELPHIA PA
19152-2733
US

IV. Provider business mailing address

8019 CASTOR AVE
PHILADELPHIA PA
19152-2733
US

V. Phone/Fax

Practice location:
  • Phone: 215-724-6767
  • Fax: 215-742-6519
Mailing address:
  • Phone: 215-724-6767
  • Fax: 215-742-6519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberSC003415-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: