Basic Information
| Provider Information | |||||||||
| NPI: | 1033188685 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SHNEIDER | ||||||||
| FirstName: | BENJAMIN | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3705 5TH AVE | ||||||||
| Address2: | PEDIATRIC GASTROENTEROLOGY | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152132584 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126925180 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3705 5TH AVE | ||||||||
| Address2: | PEDIATRIC GASTROENTEROLOGY | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152132584 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126925180 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0206X | 208348 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Gastroenterology |
No ID Information.