Provider Demographics
NPI:1497892996
Name:WALKER, RICHARD NATHANIEL (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:NATHANIEL
Last Name:WALKER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:477 ROUTE 10 E
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-2142
Mailing Address - Country:US
Mailing Address - Phone:973-328-1311
Mailing Address - Fax:973-328-8085
Practice Address - Street 1:477 ROUTE 10 E
Practice Address - Street 2:SUITE 103
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-2142
Practice Address - Country:US
Practice Address - Phone:973-328-1311
Practice Address - Fax:973-328-8085
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2016-12-12
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Provider Licenses
StateLicense IDTaxonomies
NY240185207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology