Provider Demographics
NPI:1629174172
Name:SCHAEFFER, KATHLEEN (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:SCHAEFFER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 300
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-968-7433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB075069207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ010007622OtherAMERICHOICE
NJ3K5438OtherHEALTHNET
NJP3680603OtherOXFORD
NJ0079324Medicaid
NJ42299OtherUNIVERISTY HEALTH PLAN
NJ60019733OtherHORIZON NJ HEALTH
NJ3970198OtherAETNA
NJ2566188OtherUNITED HEALTHCARE
NJ2625968000OtherAMERIHEALTH/KEYSTONE/IBC
NJ60019745OtherHORIZON NJ HEALTH
NJ2350213OtherCIGNA
NJ3970185OtherAETNA
NJ2350213OtherCIGNA
NJ3970185OtherAETNA
NJ3970198OtherAETNA