Provider Demographics
NPI:1700869757
Name:SCHUCHMAN, LEONARD (DO)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:
Last Name:SCHUCHMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 DICKINSON DR
Mailing Address - Street 2:BLDG 300 STE 4
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9689
Mailing Address - Country:US
Mailing Address - Phone:610-459-5920
Mailing Address - Fax:610-459-5960
Practice Address - Street 1:915 OLD FERN HILL RD STE 500
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-3420
Practice Address - Country:US
Practice Address - Phone:610-235-4105
Practice Address - Fax:610-400-8453
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0006766207Q00000X
DEC20006255207Q00000X
NJMB46406207Q00000X
PAOS007413E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D48953Medicare UPIN
PA072946R2KMedicare PIN