MEDICARE: JOSEPH SCHELLER 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	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	D42467	MD

General Provider Information

NPI Number	:	1528068939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH SCHELLER MD

Provider Business Mailing Address
First Line	:	2501 WILLOW GLEN DR
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-3106
Country	:	US
Telephone Number	:	410-764-2908
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 WILLOW GLEN DR
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-3106
Country	:	US
Telephone Number	:	410-764-2908
Fax Number	:

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	04/26/2012

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Directions to “ JOSEPH SCHELLER MD” Practice Location

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