Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD027079E | PA |
N | 111NI0900X | Internist | MD027079E | PA |
Y | 207RH0003X | Hematology & Oncology | MD027079E | PA |
NPI | 1033147566 |
---|---|
Provider Name | Stephen J Schuster |
First Address | Philadelphia, PA 19104-4229 |
Second Address | Philadelphia, PA 19104-4229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 24/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011630650001 | (05) | PA |
E63970 | (02) |