Healthcare Provider Details

I. General information

NPI: 1083647374
Provider Name (Legal Business Name): MATTHEW SCHAEFFER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 11/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 OLD FERN HILL RD STE 1
WEST CHESTER PA
19380-4269
US

IV. Provider business mailing address

915 OLD FERN HILL RD STE 1
WEST CHESTER PA
19380-4269
US

V. Phone/Fax

Practice location:
  • Phone: 610-692-6280
  • Fax: 610-429-1934
Mailing address:
  • Phone: 610-692-6280
  • Fax: 610-429-1934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW W SCHAEFFER
Title or Position: OWNER/OPERATOR
Credential: M.D.
Phone: 610-280-7828