MEDICARE: DR. CYNTHIA N SCHAEFFER 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	D0045916	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	54618201	OTHER	BCBS
3	479177	OTHER	AETNA HMO
4	522172068	OTHER	AMERIGROUP
5	0002	OTHER	BCBS
6	267482	OTHER	MAMSI
7	4492858	OTHER	AETNA PPO

General Provider Information

NPI Number	:	1497757215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA N SCHAEFFER MD

Provider Business Mailing Address
First Line	:	3100 MOUNTAIN RD STE E
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-2018
Country	:	US
Telephone Number	:	410-360-4446
Fax Number	:	410-360-4449

Provider Business Practice Location Address
First Line	:	3100 MOUNTAIN RD
Second Line	:	SUITE E
City	:	PASADENA
State	:	MD
Zip	:	21122-2018
Country	:	US
Telephone Number	:	410-360-4446
Fax Number	:	410-360-4449

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	10/27/2021

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Directions to “ DR. CYNTHIA N SCHAEFFER MD” Practice Location

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