Provider Demographics
NPI:1457357345
Name:SCHREIBER, SIMEON B (MD)
Entity Type:Individual
Prefix:DR
First Name:SIMEON
Middle Name:B
Last Name:SCHREIBER
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 1:10230 NEW HAMPSHIRE AVE
Mailing Address - Street 2:STE 203
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1423
Mailing Address - Country:US
Mailing Address - Phone:301-439-7337
Mailing Address - Fax:301-439-7995
Practice Address - Street 1:10230 NEW HAMPSHIRE AVE
Practice Address - Street 2:STE 203
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1423
Practice Address - Country:US
Practice Address - Phone:301-439-7337
Practice Address - Fax:301-439-7995
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0023149174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC61646Medicare UPIN