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NPI Code Detail

MEDICARE: DR. PAUL LOUIS SCHRAEDER M.D.

MEDICARE:  DR. PAUL LOUIS SCHRAEDER  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
1204C00000XSports Medicine (Neuromusculoskeletal Medicine) PhysicianMD9504#PA

General Provider Information

NPI Number : 1982832184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL LOUIS SCHRAEDER M.D.
Provider Business Mailing Address
First Line : 241 S 6TH ST
Second Line : #2010
City : PHILADELPHIA
State : PA
Zip : 19106-3727
Country : US
Telephone Number : 215-923-9765
Fax Number : 215-925-2908
Provider Business Practice Location Address
First Line : 241 S 6TH ST
Second Line : #2010
City : PHILADELPHIA
State : PA
Zip : 19106-3727
Country : US
Telephone Number : 215-923-9765
Fax Number : 215-925-2908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2009
Last Update Date : 06/25/2009

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Directions to “ DR. PAUL LOUIS SCHRAEDER M.D.” Practice Location

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