Individual
DR. WILLIAM J SCHICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CENTURIAN DR, SUITE 307, NEWARK, DE 19713-2137
(302) 543-8100
(302) 543-8905
Mailing address
1 CENTURIAN DR, SUITE 307, NEWARK, DE 19713-2137
(302) 543-8100
(302) 543-8905
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
C10002658
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000097601
—
DE
01
—
0105929000
KEYSTONE HEALTH PLAN
PA
01
—
0105929000
DELAWARE VALLEY HMO
—
01
—
1404977
UMWA
—
01
—
510315372
TAX ID
—
01
—
510315372001
CHAMPUS
—
05
—
536400100
—
MD
05
—
7039905
—
NJ
01
—
C48770
BLUE CROSS
DE
01
—
C48770
MIDATLANTIC
—
Enumeration date
08/13/2006
Last updated
03/07/2013
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