Provider Demographics
NPI:1205886785
Name:SCHULHAFER, EDWIN PETER (MD)
Entity type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:PETER
Last Name:SCHULHAFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 COURTYARD DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4257
Mailing Address - Country:US
Mailing Address - Phone:908-252-1050
Mailing Address - Fax:908-252-1055
Practice Address - Street 1:712 COURTYARD DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4257
Practice Address - Country:US
Practice Address - Phone:908-252-1050
Practice Address - Fax:908-252-1055
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04462800207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4615107Medicaid
NJ1730120437OtherORGANIZATION NPI
NJA61352Medicare UPIN
NJ540998L12Medicare ID - Type Unspecified