Provider Demographics
NPI:1265444574
Name:SCHOR, NICHOLAS JACOB (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JACOB
Last Name:SCHOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 CONTINENTAL DR
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2973
Mailing Address - Country:US
Mailing Address - Phone:301-774-7060
Mailing Address - Fax:301-774-7064
Practice Address - Street 1:5004 CONTINENTAL DR
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-2973
Practice Address - Country:US
Practice Address - Phone:301-774-7060
Practice Address - Fax:301-774-7064
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00598252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry