Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0300X | Periodontist | 22DI02441601 | NJ |
Y | 1223P0300X | Periodontist | DS035177 | PA |
NPI | 1043434707 |
---|---|
Provider Name | Dr. Eric Francis Schoenebeck |
First Address | Southampton, PA 18966-2867 |
Second Address | Moorestown, NJ 08057-3124 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 20/07/2010 |