Basic Information
Provider Information
NPI: 1023114592
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHNUR
FirstName: RHONDA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3 COOPER PLZ
Address2: SUITE 502
City: CAMDEN
State: NJ
PostalCode: 081031438
CountryCode: US
TelephoneNumber: 8569636888
FaxNumber:  
Practice Location
Address1: 3 COOPER PLZ
Address2: SUITE 200
City: CAMDEN
State: NJ
PostalCode: 081031438
CountryCode: US
TelephoneNumber: 8563422001
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/15/2006
LastUpdateDate: 04/25/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMA63463NJN Allopathic & Osteopathic PhysiciansPediatrics 
207SG0201XMA63463NJY Allopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)

ID Information
IDTypeStateIssuerDescription
019441600001NJAMERIHEALTH/KEYSTONE/IBCOTHER
CA000001801NJAMERICHOICEOTHER
054920705NJ MEDICAID
104351401NJHORIZON NJ HEALTHOTHER
P187043501NJOXFORDOTHER
142297901NJUNITED HEALTHCAREOTHER
296917901NJAETNAOTHER
320917401NJCIGNAOTHER
3K597101NJHEALTHNET, INCOTHER
2332601NJUNIVERSITY HEALTH PLANOTHER
47296901NJAMERIHEALTH PPO/ PA BSOTHER


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