Individual
GRETCHEN SCHAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(800) 879-2467
Mailing address
7516 NEWLAND ST, PHILADELPHIA, PA 19128-4133
(614) 915-1922
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
DO2948
NV
208000000X
Pediatrics Physician
Primary
OS022081
PA
208000000X
Pediatrics Physician
SL1310
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063916054
INDIVIDUAL
NV
Enumeration date
03/22/2018
Last updated
11/27/2022
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