Individual
MR. RICHARD JOSEPH WAITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
950 WINTER ST, WALTHAM, MA 02451-1424
(781) 419-8354
(781) 419-8479
Mailing address
950 WINTER ST, WALTHAM, MA 02451-1424
(781) 419-8354
(781) 419-8479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
274605
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093584A
—
MA
Enumeration date
12/01/2009
Last updated
07/29/2015
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