Provider Demographics
NPI:1851357313
Name:WALDMAN, RICHARD N (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:N
Last Name:WALDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:N
Other - Last Name:WALDMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PC
Mailing Address - Street 1:1151 ROBESON ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5566
Mailing Address - Country:US
Mailing Address - Phone:508-730-1666
Mailing Address - Fax:
Practice Address - Street 1:1151 ROBESON ST STE 201
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5566
Practice Address - Country:US
Practice Address - Phone:508-730-1666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA42776207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM14936OtherBLUECROSS BLUESHIELD
MA042776OtherTUFTS
MA9759301Medicaid
MA0301007OtherUNITED HEALTHCARE
MA46745OtherRI BLUESHIELD
MAB20459501OtherCIGNA
MA202428OtherHMORI
MA2061988Medicaid
MA4030OtherHARVARD PILGRIM HEALTHCAR
MAK08334OtherHMOB
MAB20459501OtherCIGNA
MAB75281Medicare UPIN