Provider Demographics
NPI:1780660183
Name:SCHULMAN, SUZI ROBIN (DC)
Entity Type:Individual
Prefix:DR
First Name:SUZI
Middle Name:ROBIN
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 ROUTE 46
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2449
Mailing Address - Country:US
Mailing Address - Phone:973-742-3400
Mailing Address - Fax:973-742-3535
Practice Address - Street 1:1117 ROUTE 46
Practice Address - Street 2:SUITE 204
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2449
Practice Address - Country:US
Practice Address - Phone:973-742-3400
Practice Address - Fax:973-742-3535
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ643038Medicare PIN