Provider Demographics
NPI:1679780407
Name:SCHAEFER, CHRISTOPHER (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:
Other - Last Name:SCHAEFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:18 GOLDNEY DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-3633
Mailing Address - Country:US
Mailing Address - Phone:215-750-6510
Mailing Address - Fax:
Practice Address - Street 1:3311 BRUNSWICK PIKE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2411
Practice Address - Country:US
Practice Address - Phone:609-716-7030
Practice Address - Fax:609-716-7003
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012716208800000X
NJ25MB08838000208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA078831ZFUKMedicare PIN