Provider Demographics
NPI:1992704092
Name:SCHOB, CLIFFORD J (MD)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:J
Last Name:SCHOB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:235 MILLBURN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1738
Mailing Address - Country:US
Mailing Address - Phone:973-258-1177
Mailing Address - Fax:973-258-1818
Practice Address - Street 1:235 MILLBURN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1738
Practice Address - Country:US
Practice Address - Phone:973-258-1177
Practice Address - Fax:973-258-1818
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2013-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA054352207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0700530001Medicare NSC
NJ00415034Medicare ID - Type Unspecified
NJE40024Medicare UPIN