Provider Demographics
NPI:1487672820
Name:SCHUSTER, MITCHELL ALAN (MD PA)
Entity Type:Individual
Prefix:
First Name:MITCHELL
Middle Name:ALAN
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 NW 13TH ST
Mailing Address - Street 2:SUITE 3E
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-368-5558
Mailing Address - Fax:561-368-7907
Practice Address - Street 1:951 NW 13TH ST
Practice Address - Street 2:SUITE 3E
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-368-5558
Practice Address - Fax:561-368-7907
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79854207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0190526OtherUNITED HEALTHCARE
FL080173605OtherMEDICARE RAILROAD
FL73846OtherHEALTHCARE PARTNERS
FL2489528OtherAETNA
FL57994OtherBCBS
FLP26169222OtherOXFORD
FLWV215OtherEMPIRE
FL2489528OtherAETNA
FLWV215OtherEMPIRE