Individual
DR. RICHARD LAWRENCE WALTERS
Active
Individual
DR. RICHARD LAWRENCE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT011876
PA
207RG0100X
Gastroenterology Physician
Primary
25MB08952800
NJ
207RG0100X
Gastroenterology Physician
X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295035
—
NJ
01
—
P01085885
RAILROAD MEDICARE
NJ
Enumeration date
10/22/2008
Last updated
01/19/2017
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