MEDICARE: DR. DONALD RICHARD SCHNEIDER MD

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	208000000X	Pediatrics Physician	D0023457	MD

General Provider Information

NPI Number	:	1154313534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD RICHARD SCHNEIDER MD

Provider Business Mailing Address
First Line	:	2538 DAVIDSONVILLE RD
Second Line	:
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-2110
Country	:	US
Telephone Number	:	410-721-0800
Fax Number	:	410-721-4628

Provider Business Practice Location Address
First Line	:	2538 DAVIDSONVILLE RD
Second Line	:
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-2110
Country	:	US
Telephone Number	:	410-721-0800
Fax Number	:	410-721-4628

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	07/08/2007

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