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Individual

DR. MARK EDWARD SCHADT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5325 NORTHGATE DR, STE. 204, BETHLEHEM, PA 18017-9411
(610) 865-5535
(610) 625-4300
Mailing address
5325 NORTHGATE DR, STE. 204, BETHLEHEM, PA 18017-9411
(610) 865-5535
(610) 625-4300

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
037196E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012164450002
PA
01
00593735
PA BLUE SHIELD
PA
01
01225401
CAPITAL BLUE CROSS
PA
01
0416014000
INDEPENDENCE BLUE SHIELD
PA
01
233065999003
UNITED HEALTHCARE
PA
01
2456576
AETNA
PA
01
5026943002
CIGNA
PA
01
E93735
EPHN
PA
Enumeration date
04/19/2006
Last updated
07/30/2007
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