MEDICARE: DOUGLAS CHARLES SHOENBERGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD044386E	PA

General Provider Information

NPI Number	:	1033183983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS CHARLES SHOENBERGER M.D.

Provider Business Mailing Address
First Line	:	101 S MAIN STREET
Second Line	:	SUITE 101
City	:	COOPERSBURG
State	:	PA
Zip	:	18036-2028
Country	:	US
Telephone Number	:	610-282-1170
Fax Number	:	610-282-0256

Provider Business Practice Location Address
First Line	:	101 S MAIN STREET
Second Line	:	SUITE 101
City	:	COOPERSBURG
State	:	PA
Zip	:	18036-2028
Country	:	US
Telephone Number	:	610-282-1170
Fax Number	:	610-282-0256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	05/20/2013

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