Provider Demographics
NPI:1235146705
Name:MUNCASTER, RICHARD B (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:B
Last Name:MUNCASTER
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 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:2 PLAZA DR
Practice Address - Street 2:BUNKER HILL PLAZA
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-9207
Practice Address - Country:US
Practice Address - Phone:856-270-4150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429266208800000X
NJMA04835800208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1636598OtherAETNA
NJ2162976OtherCIGNA
NJ2862291000OtherAMERIHEALTH/KEYSTONE/IBC
NJP00455951OtherRR MEDICARE
NJ01004599500OtherAMERICHOICE
NJ1984555OtherPA BS HIGHMARK
NJ3K7718OtherHEALTHNET
NJ60034127OtherHORIZON NJ HEALTH
NJP3838995OtherOXFORD
NJ0142387Medicaid
NJ1735957OtherUNITED HEALTHCARE
NJP00455951OtherRR MEDICARE
NJ01004599500OtherAMERICHOICE