Provider Demographics
NPI:1942312566
Name:SCHUCHMAN, GERALD (PHD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:
Last Name:SCHUCHMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13516 CRISPIN WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2943
Mailing Address - Country:US
Mailing Address - Phone:301-871-2771
Mailing Address - Fax:301-871-2772
Practice Address - Street 1:13516 CRISPIN WAY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-2943
Practice Address - Country:US
Practice Address - Phone:301-871-2771
Practice Address - Fax:301-871-2772
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000868L171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider