Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | TEACHING CERT 01583 | NJ |
NPI | 1144289547 |
---|---|
Provider Name | Dr. Lawrence Charles Schneider |
First Address | Livingston, NJ 07039-4413 |
Second Address | Newark, NJ 07103-2495 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 08/07/2007 |