Provider Demographics
NPI:1518961358
Name:SCHECHNER, STEPHEN ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ALAN
Last Name:SCHECHNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:321 EDWIN DR
Mailing Address - Street 2:STE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-4542
Mailing Address - Country:US
Mailing Address - Phone:757-497-3434
Mailing Address - Fax:757-671-8177
Practice Address - Street 1:321 EDWIN DR
Practice Address - Street 2:STE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-4542
Practice Address - Country:US
Practice Address - Phone:757-497-3434
Practice Address - Fax:757-671-8177
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101020669208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA15386OtherOPTIMA
VA212625OtherMAMSI
VA17-00089OtherUNITED HEALTHCARE
VA1432039001OtherCIGNA
VA4004843OtherAETNA
VAB05413Medicare UPIN