Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | MD037663L | PA |
Y | 2080A0000X | Adolescent Medicine | MD037663L | PA |
NPI | 1699878678 |
---|---|
Provider Name | Adele Schneider |
First Address | Philadelphia, PA 19107-5109 |
Second Address | Philadelphia, PA 19107-5109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 24/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01073914 | (05) | PA |
C34378 | (02) | PA |