Provider Demographics
NPI:1043509037
Name:SCHNEIDER, YECHESKEL
Entity type:Individual
Prefix:
First Name:YECHESKEL
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-291-8680
Mailing Address - Fax:856-291-8641
Practice Address - Street 1:401 YOUNG AVE STE 275D
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3130
Practice Address - Country:US
Practice Address - Phone:856-291-8680
Practice Address - Fax:856-291-8641
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10353200207RG0100X
PAMD460389207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology