Waitt, Richard Joseph

Waitt, Richard Joseph is an individual health care provider with primary practice located at 950 Winter St , Waltham MA 02451-1424. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Waitt, Richard Joseph can be contacted via phone (781) 419-8354.

Contact Information

Primary practice address
950 Winter St Waltham MA 02451-1424
Phone: (781) 419-8354
Fax: (781) 419-8479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 274605 Massachusetts

Profile Details

NPI number 1992033096
LBN Legal business name Waitt, Richard Joseph
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2009
Last updated Jul 29th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992033096 NPPES
Massachusetts MEDICAID 110093584A

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