Individual
DR. RICHARD J SCHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2624 HWY 516, OLD BRIDGE, NJ 08857-2306
(732) 952-5000
(329) 525-0057
Mailing address
31 WARD DR, BRICK, NJ 08723-7533
(908) 472-3536
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06065000
NJ
207R00000X
Internal Medicine Physician
MA60650
NJ
208100000X
Physical Medicine & Rehabilitation Physician
MA60650
NJ
2083P0901X
Public Health & General Preventive Medicine Physician
MD448923
PA
2083X0100X
Occupational Medicine Physician
MA60650
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010060511
RAILROAD MEDICARE
NJ
01
—
115541400
FIRST HEALTH
NJ
01
—
223442762
FEDERAL TAX ID
—
05
—
6402500
—
NJ
01
—
J027572
TRICARE
NJ
01
—
P621793
OXFORD
NJ
Enumeration date
12/26/2005
Last updated
12/07/2023
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