Individual
STEPHANIE WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2099
(609) 914-6000
(609) 914-6182
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
25MP00555100
NJ
363A00000X
Physician Assistant
Primary
25MP00555100
NJ
Other
Enumeration date
12/17/2019
Last updated
10/20/2020
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