Provider Demographics
NPI:1689852428
Name:SCHMALZ, WILLIAM F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:SCHMALZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:750 VALLEY BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-1301
Mailing Address - Country:US
Mailing Address - Phone:973-857-8995
Mailing Address - Fax:201-933-7600
Practice Address - Street 1:750 VALLEY BROOK AVE
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1301
Practice Address - Country:US
Practice Address - Phone:973-857-8995
Practice Address - Fax:201-933-7600
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY293147208600000X
NJ25MA0342000208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery