Individual
DR. ROGER J WALTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 EAST 67 STREET, SUITE 1-8, NEW YORK, NY 10065
(917) 262-0415
(212) 409-8271
Mailing address
310 EAST 67 STREET, SUITE 1-8, NEW YORK, NY 10065
(917) 262-0415
(212) 409-8271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
199084
NY
207RH0003X
Hematology & Oncology Physician
Primary
199084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01873638
—
NY
Enumeration date
10/07/2005
Last updated
09/27/2018
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