Individual
DR. RICHARD LAWRENCE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
188 FRIES MILL RD, SUITE N-1, TURNERSVILLE, NJ 08012-2015
(856) 783-2241
(856) 783-2243
Mailing address
188 FRIES MILL RD, SUITE N-1, TURNERSVILLE, NJ 08012-2015
(856) 783-2241
(856) 783-2243
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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