National Provider Identifier Database

ALFONSO WALLER, MD – NPI #1326219577
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

ALFONSO WALLER, MD
90 BERGEN ST
SUITE 3500
NEWARK, NJ07103-2425
Phone: 973-972-2573
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for ALFONSO WALLER

NPI Number 1326219577
Credentials MD
Entity Individual
Enumeration date 03/17/2008
Last updated 11/19/2025 - About 7 months ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MA08557800
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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