Walder, Mary Ellen

Walder, Mary Ellen is an sole proprietor health care provider with primary practice located at 2041 N Route 9 , Cape May Court House NJ 08210-1162. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Walder, Mary Ellen can be contacted via phone (609) 624-8986.

Contact Information

Primary practice address
2041 N Route 9 Cape May Court House NJ 08210-1162
Fax: (609) 624-9098
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-043998-E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA09301700 New Jersey

Profile Details

NPI number 1043233596
LBN Legal business name Walder, Mary Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated May 28th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043233596 NPPES
Pennsylvania MEDICAID 0016092820004
Pennsylvania MEDICAID 0380491

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