Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MB05069700 | NJ |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 25MB05069700 | NJ |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MB05069700 | NJ |
NPI | 1861439481 |
---|---|
Provider Name | Dr. Richard C Scharf |
First Address | Roselle Park, NJ 07204-1918 |
Second Address | Roselle Park, NJ 07204-1918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 03/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0455749004 | CIGNA (01) | NJ |
4256093 | AETNA (01) | NJ |
E94530 | (02) |