Provider Demographics
NPI:1679553754
Name:SCHULMAN, DAVID B (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6410 GLYNMOOR LAKES DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-4552
Mailing Address - Country:US
Mailing Address - Phone:704-542-3003
Mailing Address - Fax:704-542-3040
Practice Address - Street 1:10370 PARK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8508
Practice Address - Country:US
Practice Address - Phone:704-542-3003
Practice Address - Fax:704-542-3040
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY201827207N00000X
NC151111207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01U91Medicare ID - Type Unspecified
G23632Medicare UPIN