Healthcare Provider Details

I. General information

NPI: 1750315867
Provider Name (Legal Business Name): RICHARD C STRAUSS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 01/25/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 COLLEGE DR SUITE 1A
VINELAND NJ
08360-6933
US

IV. Provider business mailing address

2848 S DELSEA DR SUIET 4B
VINELAND NJ
08360-7042
US

V. Phone/Fax

Practice location:
  • Phone: 856-507-0600
  • Fax: 856-507-0233
Mailing address:
  • Phone: 856-205-7070
  • Fax: 856-205-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number1770291
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMA63843
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: