Provider Demographics
NPI:1316102361
Name:RICHARD H MCSHANE
Entity type:Organization
Organization Name:RICHARD H MCSHANE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCSHANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-303-9124
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-0321
Mailing Address - Country:US
Mailing Address - Phone:973-303-9124
Mailing Address - Fax:973-635-9444
Practice Address - Street 1:77 N PASSAIC AVE
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2526
Practice Address - Country:US
Practice Address - Phone:973-303-9124
Practice Address - Fax:973-635-9444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA032244002082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty