Basic Information
| Provider Information | |||||||||
| NPI: | 1396140406 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHOENBERG | ||||||||
| FirstName: | CLARE | ||||||||
| MiddleName: | FISCHER-DAVIES | ||||||||
| NamePrefix: | |||||||||
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| Credential: | PA | ||||||||
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| OtherLastName: | FISCHER-DAVIES | ||||||||
| OtherFirstName: | CLARE | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 17 STRATHMORE RD | ||||||||
| Address2: | |||||||||
| City: | HAVERTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190833719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4015251347 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1207 CHESTNUT ST FL 3 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191074131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2677250252 | ||||||||
| FaxNumber: | 2157321046 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2014 | ||||||||
| LastUpdateDate: | 04/06/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | MA058320 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.