Individual
DR. WENDELYN LEE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 HASTINGS SQUARE MALL, SCHOOLEY'S MOUNTAIN RD, HACKETTSTOWN, NJ 07840-4227
(908) 979-0050
Mailing address
149 OLD TURNPIKE RD, PORT MURRAY, NJ 07865-3216
(908) 684-1182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA07479300
NJ
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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