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Contact Information

JOHN R WALDRON, DO
69 NORTH MAIN STREET
MEDFORD, NJ08055
 Phone: 609-953-9000
 Fax: 609-953-9696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN R WALDRON · (Male)

NPI Number 1154356343
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/12/2006
Last updated 07/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB04229800
  • NJ Medicaid 4600703
Hospital affiliation(s) Not Available
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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