Provider Demographics
NPI:1245247709
Name:SCHELL, HAROLD S (MD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:S
Last Name:SCHELL
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:P.O. BOX 8500-7422
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-7422
Mailing Address - Country:US
Mailing Address - Phone:609-815-7810
Mailing Address - Fax:609-815-7814
Practice Address - Street 1:850 BEAR TAVERN ROAD
Practice Address - Street 2:SUITE 309
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-1018
Practice Address - Country:US
Practice Address - Phone:609-392-8100
Practice Address - Fax:609-695-6202
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA30485208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2919206Medicaid
NJ2919206Medicaid
SC158304Medicare ID - Type Unspecified
NJD06268Medicare UPIN
NJ158304Medicare PIN