Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MA10048300 | NJ |
NPI | 1043659725 |
---|---|
Provider Name | Dr. Casey R Schoenlank |
First Address | Edison, NJ 08820-3947 |
Second Address | Brick, NJ 08724-7732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2013 |
Last Update Date | 21/09/2017 |