Waldron, John R
Waldron, John R is an individual health care provider with primary practice located at 69 North Main Street , Medford NJ 08055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Waldron, John R can be contacted via phone (609) 953-9000.Contact Information
Primary practice address
69 North Main Street
Medford NJ 08055
Phone: (609) 953-9000
Fax: (609) 953-9696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB04229800 | New Jersey |
Profile Details
| NPI number | 1154356343 |
|---|---|
| LBN Legal business name | Waldron, John R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 25th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154356343 | NPPES |
| New Jersey | MEDICAID | 4600703 |
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