Provider Demographics
NPI:1952395212
Name:SCHMUCKER, LINDA N (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:N
Last Name:SCHMUCKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:SOUTH JERSEY RADIOLOGY ASSOCIATES, PA
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-7710
Mailing Address - Country:US
Mailing Address - Phone:856-770-0504
Mailing Address - Fax:856-770-0395
Practice Address - Street 1:100 CARNIE BLVD
Practice Address - Street 2:SUITE B-5 SOUTH JERSEY RADIOLOGY ASSOCIATES
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4512
Practice Address - Country:US
Practice Address - Phone:856-751-0123
Practice Address - Fax:856-751-0535
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA062841002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6661203Medicaid
SC792605OtherPREMIER BLUE
0817882000OtherAMERIHEALTH
0695230OtherAETNA
300065324OtherRAILROAD MEDICARE
A3738029OtherOXFORD HEALTH
1542531OtherUNITED HEALTHCARE
1096034OtherHORIZON NJ HEALTH
SC792605OtherHIGHMARK PA BLUE SHIELD
A3738029OtherOXFORD HEALTH
NJ792605A2DMedicare PIN