Provider Demographics
NPI:1225457393
Name:DONALD R SCHNEIDER, MD AND ZACHARY R SCHNEIDER, MD PA
Entity Type:Organization
Organization Name:DONALD R SCHNEIDER, MD AND ZACHARY R SCHNEIDER, MD PA
Other - Org Name:BELLIACRES PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-721-0800
Mailing Address - Street 1:2538 DAVIDSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-2110
Mailing Address - Country:US
Mailing Address - Phone:410-721-0800
Mailing Address - Fax:410-721-4628
Practice Address - Street 1:2538 DAVIDSONVILLE RD
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-2110
Practice Address - Country:US
Practice Address - Phone:410-721-0800
Practice Address - Fax:410-721-4628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD23457208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty