Provider Demographics
NPI:1093758492
Name:SCHERL, BURTON A (MD)
Entity Type:Individual
Prefix:DR
First Name:BURTON
Middle Name:A
Last Name:SCHERL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4612
Mailing Address - Country:US
Mailing Address - Phone:201-945-6564
Mailing Address - Fax:201-461-9038
Practice Address - Street 1:1555 CENTER AVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4612
Practice Address - Country:US
Practice Address - Phone:201-945-6564
Practice Address - Fax:201-461-9038
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02210300207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
240300OtherGHI
NJCE8412OtherRAILROAD MEDICARE
OKO386OtherHEALTHNET
BP314OtherOXFORD
NJ527439Medicare ID - Type Unspecified
OKO386OtherHEALTHNET