Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | MD022423E | PA |
NPI | 1154427623 |
---|---|
Provider Name | Shelley Sue Schuler |
First Address | Paoli, PA 19301-1610 |
Second Address | Paoli, PA 19301-1610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 07/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C30366 | (02) | PA |