Individual
DR. ILAN WALDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 INDUSTRIAL WAY E STE 101, EATONTOWN, NJ 07724-3332
(732) 963-9091
(732) 963-9092
Mailing address
10 INDUSTRIAL WAY E, SUITE 101, EATONTOWN, NJ 07724-3332
(732) 963-9091
(732) 963-9092
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA08366400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222461
—
NJ
Enumeration date
04/24/2007
Last updated
04/27/2021
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