Provider Demographics
NPI:1629126362
Name:SCHNEIDER, HENRY CONRAD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:CONRAD
Last Name:SCHNEIDER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1650 HUNTINGDON PIKE
Mailing Address - Street 2:SUITE 221
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8004
Mailing Address - Country:US
Mailing Address - Phone:215-947-7025
Mailing Address - Fax:215-947-7067
Practice Address - Street 1:1650 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 221
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8004
Practice Address - Country:US
Practice Address - Phone:215-947-7025
Practice Address - Fax:215-947-7067
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD010324E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC31895Medicare UPIN