Provider Demographics
NPI:1760952790
Name:SCHONBERGER, MARC SETH
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:SETH
Last Name:SCHONBERGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 GLADES RD STE 324A
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-8571
Mailing Address - Country:US
Mailing Address - Phone:954-610-0445
Mailing Address - Fax:954-228-2404
Practice Address - Street 1:4059 PINEWOOD LN
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3818
Practice Address - Country:US
Practice Address - Phone:954-610-0445
Practice Address - Fax:954-228-2404
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory