Individual
KATHERINE SCHNEEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
370 HIGHWAY 35, STE 101, RED BANK, NJ 07701-5922
(732) 758-0048
(732) 758-0052
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07330600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005312
—
NJ
01
—
2371391
UNITED HEALTHCARE OF NJ I
—
01
—
2K5422
HEALTH NET
—
01
—
3449040
AETNA
—
01
—
3475544
CIGNA
—
01
—
5302A1
EMPIRE BC BS
NY
01
—
P00058258
MEDICARE RAILROAD
—
01
—
P3094875
OXFORD HELATH PLANS NJ IN
—
Enumeration date
11/15/2005
Last updated
07/16/2007
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