Provider Demographics
NPI:1841362100
Name:SCHACHTER, DAVID SEYMOUR (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:SEYMOUR
Last Name:SCHACHTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 GREENWAY CENTER DRIVE
Mailing Address - Street 2:212
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3525
Mailing Address - Country:US
Mailing Address - Phone:301-982-9872
Mailing Address - Fax:
Practice Address - Street 1:7525 GREENWAY CENTER DRIVE
Practice Address - Street 2:212
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3525
Practice Address - Country:US
Practice Address - Phone:301-982-9872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0015939207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
4089685OtherAETNA
30410001OtherCAREFIRST BCBSNCA
4089685OtherAETNA
151572Medicare ID - Type Unspecified