MEDICARE: DR. RUTH J SCHULZE 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	207V00000X	Obstetrics & Gynecology Physician	25MA04925900	NJ

General Provider Information

NPI Number	:	1538149752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUTH J SCHULZE MD

Provider Business Mailing Address
First Line	:	577 CHESTNUT RIDGE RD
Second Line	:	SECOND FLOOR
City	:	WOODCLIFF LAKE
State	:	NJ
Zip	:	07677-8409
Country	:	US
Telephone Number	:	201-391-5770
Fax Number	:	201-391-4793

Provider Business Practice Location Address
First Line	:	577 CHESTNUT RIDGE RD
Second Line	:	SECOND FLOOR
City	:	WOODCLIFF LAKE
State	:	NJ
Zip	:	07677-8409
Country	:	US
Telephone Number	:	201-391-5770
Fax Number	:	201-391-4793

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	05/10/2013

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