Individual
MARY V. WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 NATHAN D PERLMAN PL, 16TH STREET AT FIRST AVE, NEW YORK, NY 10003-3851
(212) 420-2620
Mailing address
PO BOX 32886, HARTFORD, CT 06150-2886
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
184527
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01813583
—
NY
Enumeration date
05/04/2006
Last updated
05/14/2019
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