Doctor Name: | MATTHEW E SCHULTZ |
NPI Number: | 1124096797 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PAC |
License Number: | MA052301 |
Business Practice Address: | 619 Dalton St Emmaus, PA - 180493031 |
Business Phone Number: | 6109673646 |
Business Fax Number: | 6109668238 |
Mailing Address: | 623 E Broad St, 2nd Floor BETHLEHEM |
State: | PA |
Postal Code: | 180186332 |
Phone Number: | 6109656048 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA052301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |