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Individual

CHARLES H SCHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2701 HOLME AVE, SUITE 104, PHILADELPHIA, PA 19152-2029
(215) 331-8897
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD032621E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00108992530005
PA
01
0084019000
INDEPENDENCE BLUE CROSS
PA
01
0147817
BLUE SHIELD
PA
Enumeration date
01/15/2007
Last updated
09/03/2021
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