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NPI Code Detail

MEDICARE: MICHAEL P SCHMIDT

MEDICARE:   MICHAEL P SCHMIDT
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
1103K00000XBehavior Analyst1-22-59852NJ

General Provider Information

NPI Number : 1568195980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL P SCHMIDT
Provider Business Mailing Address
First Line : 295 JOHNSTON AVE APT 449
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-4322
Country : US
Telephone Number : 908-910-4749
Fax Number :
Provider Business Practice Location Address
First Line : 158 NEWARK AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-2812
Country : US
Telephone Number : 201-324-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2022
Last Update Date : 07/04/2022

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Directions to “ MICHAEL P SCHMIDT ” Practice Location

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