Healthcare Provider Details

I. General information

NPI: 1912952201
Provider Name (Legal Business Name): DR. H. D. SCHOENHAUS , P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 SOUTH STREET SUITE 500
PHILADELPHIA PA
19146-8400
US

IV. Provider business mailing address

1740 SOUTH STREET SUITE 500
PHILADELPHIA PA
19146-8400
US

V. Phone/Fax

Practice location:
  • Phone: 215-546-1618
  • Fax: 215-546-9905
Mailing address:
  • Phone: 215-546-1618
  • Fax: 215-546-9905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC001395L
License Number StatePA

VIII. Authorized Official

Name: DR. HAROLD DAVID SCHOENHAUS
Title or Position: OWNER
Credential: D.P.M.
Phone: 215-546-1618