Individual
VINCENT E SCHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5936 LIMESTONE RD STE 301B, HOCKESSIN, DE 19707-8930
(302) 234-4000
(302) 234-4315
Mailing address
1205 KINTERRA CT, WEST CHESTER, PA 19382-6976
(302) 235-8808
(302) 235-8815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C10004737
DE
208D00000X
General Practice Physician
Primary
C10004737
DE
208D00000X
General Practice Physician
MD425156
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050541299
TAX ID
DE
05
—
1012007330059
—
PA
05
—
250387542
—
DE
Enumeration date
08/02/2005
Last updated
12/04/2023
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