MEDICARE: DR. SIMEON B SCHREIBER 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	174400000X	Specialist	D0023149	MD

General Provider Information

NPI Number	:	1457357345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIMEON B SCHREIBER M.D.

Provider Business Mailing Address
First Line	:	10230 NEW HAMPSHIRE AVE
Second Line	:	STE 203
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1423
Country	:	US
Telephone Number	:	301-439-7337
Fax Number	:	301-439-7995

Provider Business Practice Location Address
First Line	:	10230 NEW HAMPSHIRE AVE
Second Line	:	STE 203
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1423
Country	:	US
Telephone Number	:	301-439-7337
Fax Number	:	301-439-7995

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	07/08/2007

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