Provider Demographics
NPI:1629057757
Name:SCHNITZLEIN, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:SCHNITZLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2953 AIRDRIE AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2422
Mailing Address - Country:US
Mailing Address - Phone:732-778-3672
Mailing Address - Fax:443-512-0644
Practice Address - Street 1:3186 STATE ROUTE 27
Practice Address - Street 2:SUITE 204
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1513
Practice Address - Country:US
Practice Address - Phone:732-940-6117
Practice Address - Fax:443-512-0644
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062487174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist