Individual
DR. BRIAN J WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
61 BROADWAY, STE 910, NEW YORK, NY 10006-2736
(212) 344-5361
(212) 514-5460
Mailing address
61 BROADWAY, STE 910, NEW YORK, NY 10006-2736
(212) 344-5361
(212) 514-5460
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
167350
NY
207Q00000X
Family Medicine Physician
1673501
NY
Other
Enumeration date
01/25/2006
Last updated
01/27/2014
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