Charles P Waitz Phd
Psychologist, Clinical in Medford, NJ. Organization (NPI-2).
Details
- NPI
- 1497950422
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles P Waitz Phd
- Organization subpart
- No
- Enumeration date
- Jun 19, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 35SI00109300 | NJ | Yes |
| 103TC0700X | Psychologist, Clinical | PS002060L | PA |
Practice location
639 Stokes RdSuite 203
Medford, NJ 08055-3003
Phone 609-953-1222 · Fax 609-714-0095
Mailing address
639 Stokes RdSuite 203
Medford, NJ 08055-3003
Phone 609-953-1222 · Fax 609-714-0095
Authorized official
Charles P Waitz
Clinical Psychologist Owner
6099531222
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