Provider Demographics
NPI:1114923661
Name:SCHANZER, ROBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:SCHANZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 ETHEL RD
Mailing Address - Street 2:SUITE #106D
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2838
Mailing Address - Country:US
Mailing Address - Phone:732-650-0040
Mailing Address - Fax:732-650-0045
Practice Address - Street 1:1 ETHEL RD
Practice Address - Street 2:SUITE 106D
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2838
Practice Address - Country:US
Practice Address - Phone:732-650-0040
Practice Address - Fax:732-650-0045
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07573900207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0010341Medicaid
NJ0010341Medicaid
NJG82831Medicare UPIN