Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD012399E | PA |
NPI | 1073779393 |
---|---|
Provider Name | Dr. Sheldon R. Schlaff |
First Address | Merion Station, PA 19066-1340 |
Second Address | West Reading, PA 19611-1410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 06/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C29269 | (02) | PA |