Healthcare Provider Details
I. General information
NPI: 1104844372
Provider Name (Legal Business Name): MELANIE BETH SCHATZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
85 OLD EAGLE SCHOOL RD
STRAFFORD PA
19087-2544
US
IV. Provider business mailing address
85 OLD EAGLE SCHOOL RD
STRAFFORD PA
19087-2544
US
V. Phone/Fax
- Phone: 610-688-3744
- Fax: 610-688-4490
- Phone: 610-688-3744
- Fax: 610-688-4490
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD428010 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: