Charles P Waitz is a Clinical in Medford, New Jersey. Charles P Waitz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles P Waitz is 1164514923. The last update date is 2007-07-08.
Charles P Waitz's current location address is 639 Stokes Rd, Medford, New Jersey. You can contact this provider via phone number 6099531222 and fax number 6097140095. The mailing address for Charles P Waitz is 639 Stokes Rd, Medford, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles P Waitz |
|---|---|
| Address | 639 Stokes Rd, Medford, New Jersey |
| Phone Number | 6099531222 |
| Fax Number | 6097140095 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1164514923 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 639 Stokes Rd |
|---|---|
| City | Medford |
| State | New Jersey (NJ) |
| Post Code | 80553003 |
| Phone Number | 6099531222 |
| Fax Number | 6097140095 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 35SI00109300 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Charles P Waitz's unique identification number?
The Charles P Waitz has been assigned the NPI (National Provider Identifier) Number 1164514923 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Charles P Waitz's facilities are geographically located?
The facilities of Charles P Waitz are physically situated at the following location: 639 Stokes Rd, Medford, NJ, 80553003.
What is the area of specialization for Charles P Waitz, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles P Waitz is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164514923 to Charles P Waitz?
The Charles P Waitz received its 1164514923 assignment from the Centers for Medicare & Medicaid Services on 2006-09-29.
When was the information regarding Charles P Waitz most recently updated?
The details pertaining to the Charles P Waitz, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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