Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 57081 | NJ |
NPI | 1063404333 |
---|---|
Provider Name | Rhonda Schneider |
First Address | Morristown, NJ 07960-6392 |
Second Address | Morristown, NJ 07960-6392 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 29/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F80338 | (02) |