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NPI Code Detail

MEDICARE: MEIRA WALDMAN MS, RD

MEDICARE: MEIRA WALDMAN MS, RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian1041242NJ

General Provider Information

NPI Number : 1356758007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEIRA WALDMAN MS, RD
Provider Business Mailing Address
First Line : 34 ROOSEVELT AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5654
Country : US
Telephone Number : 732-363-2010
Fax Number :
Provider Business Practice Location Address
First Line : 205 WYNATT ST
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4839
Country : US
Telephone Number : 732-363-2010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2014
Last Update Date : 07/15/2014

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