IndividualActive
Alfonso Waller, MD
NPI 1326219577 · Cardiovascular Disease Physician · Newark, NJ
Provider details
- NPI number
- 1326219577
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA08557800 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
90 Bergen St
Suite 3500
Newark, NJ 07103-2425
Phone: (973) 972-2573
Approximate (ZIP-level) locationGet directions
Mailing address
185 S Orange Ave
Newark, NJ 07103-2757
Registry dates
- Enumerated
- 2008-03-17
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.