Healthcare Provider Details

I. General information

NPI: 1801861828
Provider Name (Legal Business Name): JOSEPH WILLIAM SCHAUER III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 02/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 MAIN ST
FARMINGDALE NJ
07727-1326
US

IV. Provider business mailing address

43 MAIN ST
FARMINGDALE NJ
07727-1340
US

V. Phone/Fax

Practice location:
  • Phone: 732-938-6471
  • Fax: 732-938-3563
Mailing address:
  • Phone: 732-938-6471
  • Fax: 732-938-3563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMA04076900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: