| NPI | 1912959123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J SCHALLER Medical Director 908-322-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: NJ MA60650) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MA60650) |
| 111N00000X Chiropractor (Licence: NJ MC02101) | |
| 207Q00000X Family Medicine (Licence: NJ MA68662) | |
| 207R00000X Internal Medicine (Licence: NJ MA60650) | |
| 103TC0700X Psychologist Clinical (Licence: NJ NJ SID2249) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |