| Organization Name: | NICOLE SCHRADER, MD FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY, LLC |
| NPI Number: | 1023312188 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE SCHRADER-BARILE (OWNER) |
| Mailing Address: | 214 N Harrison St Princeton |
| State: | NJ US |
| Postal Code: | 085403507 |
| Phone Number: | 6092790009 |
| Fax Number: | 6099241864 |
| NPI Enumeration Date: | 01/04/2011 |
| NPI Last Update Date: | 01/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | 25MA07870100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |