Provider Demographics
NPI:1659530459
Name:SCHALLER, RICHARD VINCENT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:VINCENT
Last Name:SCHALLER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:401 YOUNG AVE STE 160
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3139
Practice Address - Country:US
Practice Address - Phone:856-247-7295
Practice Address - Fax:856-291-8791
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2020-10-19
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09004600208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery