Individual
RICHARD WALDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
770 JAMES ST, SYRACUSE, NY 13203-2117
(315) 422-2222
(315) 472-8497
Mailing address
792 N MAIN ST, STE 100A, NORTH SYRACUSE, NY 13212-1644
(315) 423-9722
(315) 423-9687
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1166141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00638239
—
NY
Enumeration date
10/26/2005
Last updated
12/28/2010
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