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Individual

DR. RICHARD M WALDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
823 JEFFERSON ST, WHITEVILLE, NC 28472
(910) 642-6121
(910) 642-8457
Mailing address
PO BOX 1528, WHITEVILLE, NC 28472-1528
(910) 642-6121
(910) 642-8457

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39134
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8524B
BCNC DR #
NC
05
898524B
NC
01
CD8805
RR MCR DR #
NC
01
N39134
SC MCD DR#
NC
Enumeration date
10/13/2006
Last updated
12/12/2016
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