Individual
JUSTIN URIAH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 BROAD ST STE 201, CLIFTON, NJ 07013-3346
(973) 754-4125
(973) 754-4190
Mailing address
15 GOLDSMITH DR, SPOTSWOOD, NJ 08884-1032
(516) 974-4678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10535854
NJ
207Q00000X
Family Medicine Physician
Primary
1992911937
NJ
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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