MEDICARE: STEVEN SCHLACHTER M.D.

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	2080A0000X	Pediatric Adolescent Medicine Physician	MA36361	NJ

General Provider Information

NPI Number	:	1679537633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN SCHLACHTER M.D.

Provider Business Mailing Address
First Line	:	1420 SEQUOIA CIR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2873
Country	:	US
Telephone Number	:	732-797-0445
Fax Number	:

Provider Business Practice Location Address
First Line	:	2446 CHURCH RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-8182
Country	:	US
Telephone Number	:	732-255-7553
Fax Number	:	732-255-8901

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

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	05/06/2008

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