Provider Demographics
NPI:1710097829
Name:SCHECHTER, ALAN L (MD PHD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:L
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 PLAZA 9
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726
Mailing Address - Country:US
Mailing Address - Phone:732-303-1500
Mailing Address - Fax:732-303-0033
Practice Address - Street 1:26 PLAZA 9
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726
Practice Address - Country:US
Practice Address - Phone:732-303-1500
Practice Address - Fax:732-303-0033
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05982100207N00000X
NY1825411207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ509038Medicare PIN