Individual
GEORGEANN WALLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1544 KUSER RD STE C9, HAMILTON, NJ 08619-3830
(734) 373-0849
Mailing address
2119 GALLAGHER AVE, SCOTCH PLAINS, NJ 07076-2607
(917) 923-4941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00561600
NJ
Other
Enumeration date
03/01/2020
Last updated
10/08/2021
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