Provider Demographics
NPI:1912015744
Name:SCHECTER, HERBERT M (DO)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:M
Last Name:SCHECTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10431 ACADEMY RD STE J
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1126
Mailing Address - Country:US
Mailing Address - Phone:215-637-4300
Mailing Address - Fax:215-637-8507
Practice Address - Street 1:10431 ACADEMY RD STE J
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1126
Practice Address - Country:US
Practice Address - Phone:215-637-4300
Practice Address - Fax:215-637-8507
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS007367L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012585990003Medicaid
PA689729Medicare ID - Type Unspecified
PA0012585990003Medicaid