Provider Demographics
NPI:1225153380
Name:PROSERPI-SCHLECHTER CENTER FOR PLASTIC SURGERY PC
Entity Type:Organization
Organization Name:PROSERPI-SCHLECHTER CENTER FOR PLASTIC SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-678-9200
Mailing Address - Street 1:2603 KEISER BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3341
Mailing Address - Country:US
Mailing Address - Phone:610-678-9200
Mailing Address - Fax:610-678-9291
Practice Address - Street 1:2603 KEISER BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3341
Practice Address - Country:US
Practice Address - Phone:610-678-9200
Practice Address - Fax:610-678-9291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055047L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA644888LEBMedicare ID - Type UnspecifiedDR. BENJAMIN SCHLECHTER
PAF50147Medicare UPIN