Provider Demographics
NPI:1710921697
Name:SCHILLER, TERENCE G (MD)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:G
Last Name:SCHILLER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1401 MARLTON PIKE EAST
Mailing Address - Street 2:SUITE 26
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034
Mailing Address - Country:US
Mailing Address - Phone:856-479-9400
Mailing Address - Fax:856-281-9913
Practice Address - Street 1:1401 MARLTON PIKE EAST
Practice Address - Street 2:SUITE 26
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:856-479-9400
Practice Address - Fax:856-281-9913
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06511900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7500700Medicaid
NJ0258987000OtherAMERIHEALTH
NJ7500700Medicaid
NJG63801Medicare UPIN