| Doctor Name: | DR. RICHARD JAMES WALDRON |
| NPI Number: | 1184733792 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD APRN BC |
| License Number: | 26NJ00092200 |
| Business Practice Address: | 20 Piermont Rd Closter, NJ - 076241533 |
| Business Phone Number: | 2017500505 |
| Business Fax Number: | 2017509752 |
| Mailing Address: | 20 Piermont Rd, CLOSTER |
| State: | NJ |
| Postal Code: | 076241533 |
| Phone Number: | 2017500505 |
| Fax Number: | 2017509752 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 26NJ00092200 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |