Provider Demographics
NPI:1609814813
Name:SCHULER, MARY L (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:L
Last Name:SCHULER
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 1:6950 GERMANTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2120
Mailing Address - Country:US
Mailing Address - Phone:215-951-4304
Mailing Address - Fax:267-286-4910
Practice Address - Street 1:6950 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2120
Practice Address - Country:US
Practice Address - Phone:215-951-4304
Practice Address - Fax:267-286-4910
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0653052207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000262548OtherBLUE SHIELD
PAG64123Medicare UPIN
PA006009HWBMedicare ID - Type Unspecified