Provider Demographics
NPI:1346046299
Name:WALDBURGER, ANDREW ARTHUR (BS, RDN)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:ARTHUR
Last Name:WALDBURGER
Suffix:
Gender:
Credentials:BS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 JAMES CT
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2025
Mailing Address - Country:US
Mailing Address - Phone:908-625-7757
Mailing Address - Fax:
Practice Address - Street 1:234 JAMES CT
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2025
Practice Address - Country:US
Practice Address - Phone:908-625-7757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered