Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | MD01105 | NJ |
NPI | 1013902428 |
---|---|
Provider Name | Dr. Richard Steven Schachter |
First Address | Old Bridge, NJ 08857-2558 |
Second Address | Old Bridge, NJ 08857-2558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 15/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0637301 | (05) | NJ |
T77777 | (02) | NJ |