Individual
ROBERT HENRI WAUTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
319 WB MCLEAN DR, CAPE CARTERET, NC 28584-8516
(252) 424-0004
(252) 764-0019
Mailing address
PO BOX 986513, DEPT 100, BOSTON, MA 02298-6513
(910) 219-8326
(910) 939-4269
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2022-00411
NC
207KA0200X
Allergy Physician
0101256874
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2013
Last updated
11/06/2023
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