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Individual

DR. RICHARD JAMES WALDRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD APRN BC

Contact information

Practice address
20 PIERMONT RD, CLOSTER, NJ 07624-1533
(201) 750-0505
(201) 750-9752
Mailing address
20 PIERMONT RD, CLOSTER, NJ 07624-1533
(201) 750-0505
(201) 750-9752

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
335I00274200
NJ
163W00000X
Registered Nurse
26N012450000
NJ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
26NJ00092200
NJ
363L00000X
Nurse Practitioner
P00195800
NJ

Other

Enumeration date
08/29/2006
Last updated
08/13/2012
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