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Search › New Jersey › 207RC0000X

Alfonso Waller, MD

NPI 1326219577 · on the registry since 2008

Practice

Address
90 Bergen St
Suite 3500
Newark, NJ 07103
Phone
(973) 972-2573
Organisation at this address
Special Llc
Siddhivinayak Inc
Siddhivinayak Inc
Clinical Practice Pc
Umdnj University Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
257

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey