Provider Demographics
NPI:1457454647
Name:SCHMELZER, JOHN F (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:SCHMELZER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9002 LINCOLN DR W STE D
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3204
Mailing Address - Country:US
Mailing Address - Phone:856-983-4646
Mailing Address - Fax:856-983-4760
Practice Address - Street 1:9002 LINCOLN DR W STE D
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3204
Practice Address - Country:US
Practice Address - Phone:856-983-4646
Practice Address - Fax:856-983-4760
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB23086207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ70236OtherMEDICARE 10