Provider Demographics
NPI:1184630907
Name:STRAUCHLER, IRVING D (MD)
Entity Type:Individual
Prefix:
First Name:IRVING
Middle Name:D
Last Name:STRAUCHLER
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 1:1099 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7129
Mailing Address - Country:US
Mailing Address - Phone:973-325-8057
Mailing Address - Fax:
Practice Address - Street 1:1099 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7129
Practice Address - Country:US
Practice Address - Phone:973-325-8057
Practice Address - Fax:973-882-0602
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03242100207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC53718Medicare UPIN