Provider Demographics
NPI:1356326227
Name:SCHNITZER, STUART B (DPM)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:B
Last Name:SCHNITZER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2253 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-4688
Mailing Address - Country:US
Mailing Address - Phone:908-233-1903
Mailing Address - Fax:908-233-1909
Practice Address - Street 1:2253 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-4688
Practice Address - Country:US
Practice Address - Phone:908-233-1903
Practice Address - Fax:908-233-1909
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD000881213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMD000881OtherSTATE LISCENSE
NJ4714810001Medicare NSC
NJT82394Medicare UPIN
083649Medicare ID - Type Unspecified