Individual
JOHN S WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
72 ALEXANDER AVE, LAMBERTVILLE, NJ 08530-2200
(609) 397-3535
Mailing address
72 ALEXANDER AVE, LAMBERTVILLE, NJ 08530-2200
(609) 397-3535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04095900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7859007
—
NJ
Enumeration date
02/16/2006
Last updated
07/08/2007
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