Basic Information
Provider Information
NPI: 1063438323
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWEDLER-KERSTEIN
FirstName: MARGARET
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 111 S 11TH ST
Address2: SUITE 8490
City: PHILADELPHIA
State: PA
PostalCode: 191074824
CountryCode: US
TelephoneNumber: 2159556161
FaxNumber: 2159235507
Practice Location
Address1: 111 S 11TH ST
Address2: SUITE 8490
City: PHILADELPHIA
State: PA
PostalCode: 191074824
CountryCode: US
TelephoneNumber: 2159556161
FaxNumber: 2159235507
Other Information
ProviderEnumerationDate: 07/13/2006
LastUpdateDate: 03/18/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD042771LPAY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
373590705NJ MEDICAID
00122391305PA MEDICAID


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