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Organization
WALTER M SCHMIDT RPT, PA
Active
Organization
WALTER M SCHMIDT RPT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JUSTIN SCHMIDT PT (PRESIDENT)
(856) 227-3215
Entity
Organization
Contact information
Practice address
141 S BLACK HORSE PIKE, SUITE #3, BLACKWOOD, NJ 08012-2975
(856) 227-3215
(856) 232-3190
Mailing address
141 S BLACK HORSE PIKE, SUITE #3, BLACKWOOD, NJ 08012-2975
(856) 227-3215
(856) 232-3190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00036200
NJ
225100000X
Physical Therapist
Primary
40QA00402300
NJ
225100000X
Physical Therapist
PT001759L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000458043
BCBS
NJ
01
—
000458043
BCBS
PA
01
—
0106235000
AETNA
NJ
01
—
0106235000
AETNA
PA
Enumeration date
07/19/2006
Last updated
06/25/2008
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