Healthcare Provider Details

I. General information

NPI: 1477540680
Provider Name (Legal Business Name): ROBERT J SCHOTT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 01/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TRENTON RD
BROWNS MILLS NJ
08015-1705
US

IV. Provider business mailing address

1010 HURLEY WAY #475
SACRAMENTO CA
95825-3215
US

V. Phone/Fax

Practice location:
  • Phone: 609-893-1200
  • Fax:
Mailing address:
  • Phone: 916-561-6818
  • Fax: 916-561-4263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG79106
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberG79106
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: