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NPI Code Detail

MEDICARE: DR. DAVID SHCHEDRIN D.M.D.

MEDICARE: DR. DAVID SHCHEDRIN D.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
1390200000XStudent in an Organized Health Care Education/Training ProgramDS045514PA

General Provider Information

NPI Number : 1689416570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID SHCHEDRIN D.M.D.
Provider Business Mailing Address
First Line : 11 RARITAN AVE APT E3W
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-1706
Country : US
Telephone Number : 215-378-6760
Fax Number :
Provider Business Practice Location Address
First Line : 3223 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5007
Country : US
Telephone Number : 215-378-6760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2024
Last Update Date : 01/14/2026

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