Provider Demographics
NPI:1962924555
Name:SCHERTZER, JOSEPH SAMUEL
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:SAMUEL
Last Name:SCHERTZER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 BRIARVISTA WAY NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3623
Mailing Address - Country:US
Mailing Address - Phone:954-873-0605
Mailing Address - Fax:
Practice Address - Street 1:714 BRIARVISTA WAY NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3623
Practice Address - Country:US
Practice Address - Phone:954-873-0605
Practice Address - Fax:954-873-0605
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2017-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator