Provider Demographics
NPI:1689676470
Name:SCHLECHTER, BENJAMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:SCHLECHTER
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 1:2603 KEISER BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3341
Mailing Address - Country:US
Mailing Address - Phone:610-678-9200
Mailing Address - Fax:610-678-9291
Practice Address - Street 1:2603 KEISER BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3341
Practice Address - Country:US
Practice Address - Phone:610-678-9200
Practice Address - Fax:610-678-9291
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055047L208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA151796803Medicaid
PA01998001OtherCAPITAL BLUE CROSS
PA1511004OtherGATEWAY
GA240004789OtherRAILROAD MEDICARE
WIWI2799OtherMEDICARE PTAN / ORGANIZATION
PA0644888OtherKEYSTONE CENTRAL
PA0644888OtherKEYSTONE SENIOR BLUE
PA132616OtherMEDPLUS
PA1104507OtherMERCY
WIWI2799001OtherMEDICARE PTAN/INDIVDUAL
PA132616OtherMEDPLUS
PA151796803Medicaid