Individual
DR. MICHAEL A. WALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
JEFFERSON UNIVERSITY HOSPITALS, 2201 CHAPEL AVE, CHERRY HILL, NJ 08002
(856) 347-7716
(856) 546-0666
Mailing address
240 SHARROWVALE RD, CHERRY HILL, NJ 08034-2714
(856) 287-1788
(856) 546-0666
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MB021042
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MB021042
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1120701
—
NJ
Enumeration date
07/11/2006
Last updated
07/06/2020
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