Provider Demographics
NPI:1831484427
Name:SCHMUCKLER, NOAH G (MD)
Entity Type:Individual
Prefix:
First Name:NOAH
Middle Name:G
Last Name:SCHMUCKLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:501 HOWARD AVE
Mailing Address - Street 2:SUITE F2
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4882
Mailing Address - Country:US
Mailing Address - Phone:814-889-2020
Mailing Address - Fax:814-889-7864
Practice Address - Street 1:501 HOWARD AVE
Practice Address - Street 2:SUITE F4
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4882
Practice Address - Country:US
Practice Address - Phone:814-889-2701
Practice Address - Fax:814-889-7864
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT200070207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARES0000Medicare UPIN