PEGGY I WALLER

DAYTOP VILLAGE OF NEW JERSEY INC

Dr PEGGY I WALLER is a female medical professional, specializing in Clinical Social Worker. She graduated in 2005.

Contact

DAYTOP VILLAGE OF NEW JERSEY INC

399 N MAIN ST
MANAHAWKIN
NJ
080503069

Tel: 7328751090

PEGGY I WALLER Information

Npi 1821369562
Pac Id 0042526865
Professional Enrollment Id I20150825002976
Last Name WALLER
First Name PEGGY
Middle Name I
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2005
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DAYTOP VILLAGE OF NEW JERSEY INC
Group Practice Pac Id 3375854714
Number Of Group Practice Members 4
Line 1 Street Address 399 N MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MANAHAWKIN
State NJ
Zip Code 080503069
Phone Number 7328751090
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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