Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00178900 | NJ |
NPI | 1003892373 |
---|---|
Provider Name | Dr. Mark I Schneiderman |
First Address | Flemington, NJ 08822-4664 |
Second Address | Flemington, NJ 08822-4664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P413714 | OXFORD INS CO (01) | NJ |