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Individual

DR. BURTON A SCHLECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 BROAD ST STE B120, BLOOMFIELD, NJ 07003-3059
(973) 873-7000
(973) 743-8943
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA04784900
NJ
208800000X
Urology Physician
25MA47849
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014543
AETNA HMO#
NJ
01
0386177000
AMERIHEALTH ID#
NJ
01
1099815
GHI PPO#
NJ
01
11E951
EMPIRE BCBS (CLIFTON)
NJ
01
11E952
EMPIRE BCBS (WAYNE)
NY
01
340005194
RAILROAD MEDICARE ID#
NJ
01
368319
WELLCARE
NJ
01
4270488
AETNA PPO#
NJ
01
PS123
OXFORD ID#
NJ
01
ZD0527
HEALTHNET
NJ
Enumeration date
07/13/2006
Last updated
03/10/2022
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