Individual
DR. RICHARD VINCENT SCHALLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 YOUNG AVE STE 160 FRONT, MOORESTOWN, NJ 08057-3139
(856) 247-7295
(856) 291-8791
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09004600
NJ
208C00000X
Colon & Rectal Surgery Physician
Primary
25MA09004600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282456
—
NJ
Enumeration date
06/05/2008
Last updated
10/08/2024
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