Provider Demographics
NPI:1326122714
Name:SCHILLER, DEBBIE (MD)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:SCHILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 S 10TH ST
Mailing Address - Street 2:480 MAIN BLDG.
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5244
Mailing Address - Country:US
Mailing Address - Phone:215-955-3947
Mailing Address - Fax:215-955-5245
Practice Address - Street 1:401 E CITY LINE AVE
Practice Address - Street 2:SUITE 525
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1122
Practice Address - Country:US
Practice Address - Phone:610-667-5555
Practice Address - Fax:610-667-7878
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042329E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF09683Medicare UPIN