| Richard J. Waldron, Ph.d., Rn Inc | |
|
20 Piermont Rd Closter NJ 07624-1533 | |
| (201) 750-0505 | |
| (201) 750-9752 |
| Full Name | Richard J. Waldron, Ph.d., Rn Inc |
|---|---|
| Speciality | Psychologist |
| Location | 20 Piermont Rd, Closter, New Jersey |
| Authorized Official Name and Position | Richard James Waldron (PRESIDENT) |
| Authorized Official Contact | 2017500505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J. Waldron, Ph.d., Rn Inc 20 Piermont Rd Closter NJ 07624-1533 Ph: (201) 750-0505 | Richard J. Waldron, Ph.d., Rn Inc 20 Piermont Rd Closter NJ 07624-1533 Ph: (201) 750-0505 |
| NPI Number | 1538585443 |
|---|---|
| Provider Enumeration Date | 03/16/2014 |
| Last Update Date | 03/16/2014 |
| Medicare PECOS PAC ID | 0345463667 |
|---|---|
| Medicare Enrollment ID | O20140514000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538585443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 00274200 (New Jersey) | Primary |
| Provider Name | Richard J Waldron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184733792 PECOS PAC ID: 3375585888 Enrollment ID: I20050525000378 |
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