Individual
DR. FREDERICK A WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 STARR RD, EAST BRUNSWICK, NJ 08816-4052
(973) 885-0789
Mailing address
5 STARR RD, EAST BRUNSWICK, NJ 08816-4052
(973) 885-0789
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA07406100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001741
—
NJ
01
—
P00194485
RAILROAD MEDICARE PTAN
NJ
Enumeration date
09/19/2005
Last updated
01/29/2013
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