Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD023527E | PA |
N | 2080N0001X | Neonatal-Perinatal Doctor | MD023527E | PA |
NPI | 1023109238 |
---|---|
Provider Name | David L Schutzman |
First Address | Philadelphia, PA 19120-2421 |
Second Address | Philadelphia, PA 19141-3018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 27/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B40419 | (02) | PA |