Individual
ALLEN C. WALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 N MAIN ST, RANDOLPH, MA 02368-3072
(781) 961-1330
Mailing address
999 N MAIN ST, RANDOLPH, MA 02368-3072
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
42030
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134333
—
MA
Enumeration date
01/04/2006
Last updated
07/07/2008
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