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NPI Code Detail

MEDICARE: DR. LOREN JESSE SCHNEIDER DPM

MEDICARE:  DR. LOREN JESSE SCHNEIDER  DPM
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
1213E00000XPodiatrist000177CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1061049069OTHERCIGNA
2061049069OTHERAMERIHEALTH
31499420OTHERGHI
4061049069OTHERUNITED HEALTH CARE OF NJ
5OR2108OTHEROXFORD

General Provider Information

NPI Number : 1538276506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOREN JESSE SCHNEIDER DPM
Provider Business Mailing Address
First Line : 341 SOUTH PARKWAY
Second Line :
City : CLIFTON
State : NJ
Zip : 07014
Country : US
Telephone Number : 973-779-2149
Fax Number : 973-779-2149
Provider Business Practice Location Address
First Line : 341 SOUTH PARKWAY
Second Line :
City : CLIFTON
State : NJ
Zip : 07014
Country : US
Telephone Number : 973-779-1614
Fax Number : 860-647-0449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/18/2012

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Directions to “ DR. LOREN JESSE SCHNEIDER DPM” Practice Location

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