Individual
DR. CHARLES P WAITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
639 STOKES RD, SUITE 203, MEDFORD, NJ 08055-3003
(609) 953-1222
(609) 714-0095
Mailing address
639 STOKES RD, SUITE 203, MEDFORD, NJ 08055-3003
(609) 953-1222
(609) 714-0095
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00109300
NJ
103TC0700X
Clinical Psychologist
PS002060L
PA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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