Provider Demographics
NPI:1124102652
Name:SCHEID, EDWARD HERBERT JR (MD)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:HERBERT
Last Name:SCHEID
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:57 DELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1701
Mailing Address - Country:US
Mailing Address - Phone:518-378-5421
Mailing Address - Fax:201-297-6416
Practice Address - Street 1:1 DIAMOND HILL RD
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922
Practice Address - Country:US
Practice Address - Phone:908-277-8646
Practice Address - Fax:908-673-7202
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2020-12-17
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Provider Licenses
StateLicense IDTaxonomies
NY231356207T00000X
NJ25MA10369400207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02563422Medicaid
NY02563422Medicaid
NY02563422Medicaid