Provider Demographics
NPI:1942407606
Name:RICHARD N WALDMAN MD PC
Entity Type:Organization
Organization Name:RICHARD N WALDMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KARPPINEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-679-7361
Mailing Address - Street 1:235 HANOVER ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5246
Mailing Address - Country:US
Mailing Address - Phone:508-679-7361
Mailing Address - Fax:508-679-7702
Practice Address - Street 1:235 HANOVER ST
Practice Address - Street 2:SUITE 308
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5246
Practice Address - Country:US
Practice Address - Phone:508-679-7361
Practice Address - Fax:508-679-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA42776207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA03-01007OtherUNITED HEALTH
MAB20459501OtherCIGNA
MAM14936OtherBLUECROSS
MA2061988Medicaid
MA4030OtherHARVARD PILGRIM HEALTH
MA81277OtherAETNA LIFE
MA202428OtherHMORI
MAK08334OtherHMOB
MA9759301Medicaid
MA042776OtherTUFTS
MA4674-5OtherRIBS
MAB75281Medicare UPIN
MA9759301Medicaid