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DEBORAH BIETER SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
495 THOMAS JONES WAY, BAXTER BLDG 2 SUITE 210, EXTON, PA 19341-2553
(610) 280-3636
(610) 280-1569
Mailing address
PO BOX 1109, 450 CRESSON BLVD SUITE 300, OAKS, PA 19456-1109
(610) 482-4778
(610) 666-3310

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA06665600
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
OS005632L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10651933
CAQH NUMBER
NJ
01
3319674
AETNA ID NUMBER
NJ
01
3K4525
HEALTHNET ID NUMBER
NJ
05
7653701
NJ
Enumeration date
07/12/2006
Last updated
10/16/2014
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