Provider Demographics
NPI:1821311713
Name:HAROLD S. SCHELL, M.D. PA
Entity Type:Organization
Organization Name:HAROLD S. SCHELL, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-392-8100
Mailing Address - Street 1:416 BELLEVUE AVE
Mailing Address - Street 2:SUITE #406
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-4513
Mailing Address - Country:US
Mailing Address - Phone:609-392-8100
Mailing Address - Fax:609-695-6202
Practice Address - Street 1:416 BELLEVUE AVE
Practice Address - Street 2:SUITE #406
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-4513
Practice Address - Country:US
Practice Address - Phone:609-392-8100
Practice Address - Fax:609-695-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA03048500208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ158304Medicare UPIN