Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | OS015661 | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | OS015661 | PA |
NPI | 1083806780 |
---|---|
Provider Name | Robert D Schaller |
First Address | Philadelphia, PA 19104-5127 |
Second Address | Philadelphia, PA 19104-5127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2007 |
Last Update Date | 23/09/2019 |