Provider Demographics
NPI:1972510428
Name:SCHULTZ, ALAN E (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:E
Last Name:SCHULTZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:516 HAMBURG TPKE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2062
Mailing Address - Country:US
Mailing Address - Phone:973-595-1444
Mailing Address - Fax:973-595-8777
Practice Address - Street 1:516 HAMBURG TPKE
Practice Address - Street 2:SUITE 2
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2062
Practice Address - Country:US
Practice Address - Phone:973-595-1444
Practice Address - Fax:973-595-8777
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2010-07-01
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Provider Licenses
StateLicense IDTaxonomies
NJ33546207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD18756Medicare UPIN