MEDICARE: LEAH R SCHONFIELD DO

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	25MB05724400	NJ
2	207R00000X	Internal Medicine Physician	25MB05724400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265530208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH R SCHONFIELD DO

Provider Business Mailing Address
First Line	:	PO BOX 95000 LB# 7550
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19195-7550
Country	:	US
Telephone Number	:	844-362-1735
Fax Number	:	973-290-7495

Provider Business Practice Location Address
First Line	:	375 E MCFARLAN ST
Second Line	:
City	:	DOVER
State	:	NJ
Zip	:	07801-3628
Country	:	US
Telephone Number	:	973-366-5859
Fax Number	:	973-366-0026

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	09/14/2018

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Directions to “ LEAH R SCHONFIELD DO” Practice Location

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