Provider Demographics
NPI:1447213566
Name:SCHIAVONE, MICHAEL ANGELO II (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANGELO
Last Name:SCHIAVONE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3267 STREET RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-9444
Mailing Address - Country:US
Mailing Address - Phone:215-794-9433
Mailing Address - Fax:
Practice Address - Street 1:653 WILLOW GROVE ST
Practice Address - Street 2:SUITE 2200
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-1732
Practice Address - Country:US
Practice Address - Phone:908-441-1404
Practice Address - Fax:908-441-1460
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY164877207V00000X
NJ25MA04992200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ215001Medicaid
NJE28788Medicare UPIN
NJE28788Medicare UPIN