Basic Information
| Provider Information | |||||||||
| NPI: | 1235146705 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MUNCASTER | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 COOPER PLZ | ||||||||
| Address2: | SUITE 502 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569687433 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2 PLAZA DR | ||||||||
| Address2: | BUNKER HILL PLAZA | ||||||||
| City: | SEWELL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080809207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8562704150 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2006 | ||||||||
| LastUpdateDate: | 05/05/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | MD429266 | PA | N | Allopathic & Osteopathic Physicians | Urology | 208800000X | MA04835800 | NJ | Y | Allopathic & Osteopathic Physicians | Urology |
ID Information
| ID | Type | State | Issuer | Description | 1636598 | 01 | NJ | AETNA | OTHER | 2162976 | 01 | NJ | CIGNA | OTHER | 2862291000 | 01 | NJ | AMERIHEALTH/KEYSTONE/IBC | OTHER | P00455951 | 01 | NJ | RR MEDICARE | OTHER | 01004599500 | 01 | NJ | AMERICHOICE | OTHER | 1984555 | 01 | NJ | PA BS HIGHMARK | OTHER | 3K7718 | 01 | NJ | HEALTHNET | OTHER | 60034127 | 01 | NJ | HORIZON NJ HEALTH | OTHER | P3838995 | 01 | NJ | OXFORD | OTHER | 0142387 | 05 | NJ | MEDICAID | 1735957 | 01 | NJ | UNITED HEALTHCARE | OTHER |