Provider Demographics
NPI:1659753770
Name:SCHUSTER, SCOTT S (RD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:S
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-623-7156
Mailing Address - Fax:302-623-0394
Practice Address - Street 1:3506 KENNETT PIKE
Practice Address - Street 2:PMRI
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19807-3019
Practice Address - Country:US
Practice Address - Phone:302-661-3043
Practice Address - Fax:302-661-3010
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DE133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered