Provider Demographics
NPI:1417976853
Name:SCHECHTER, DANIEL JAMES (PA-C, LAC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JAMES
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:PA-C, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:9601 PULASKI PARK DR
Mailing Address - Street 2:SUITE 416
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1409
Mailing Address - Country:US
Mailing Address - Phone:410-933-5678
Mailing Address - Fax:410-933-4835
Practice Address - Street 1:700 GEIPE RD
Practice Address - Street 2:SUITE 265
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-4147
Practice Address - Country:US
Practice Address - Phone:410-747-7100
Practice Address - Fax:410-788-7387
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0001384363A00000X
MDU000686171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD547735OtherCAREFIRST
MDN875Medicare ID - Type Unspecified
MD547735OtherCAREFIRST