Individual
JAMIE WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-7938
(617) 643-1274
Mailing address
4312 WATERFORD VALLEY DR APT 1338, DURHAM, NC 27713-8359
(501) 772-4393
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2017-01530
NC
207KA0200X
Allergy Physician
2017-01530
NC
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
2017-01530
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659714319
—
AR
Enumeration date
04/12/2013
Last updated
04/18/2023
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