Individual
RONALD L SCHIAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 GIBBSBORO RD, CLEMENTON, NJ 08021-4132
(856) 784-4999
(856) 784-0258
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB34991
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000326
PPO INDEPEN BLUE CROSS
NJ
01
—
0069607000
HMO INDEPEN BLUE CROSS
NJ
05
—
2209101
—
NJ
Enumeration date
06/01/2006
Last updated
07/03/2019
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