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Individual
DR. JOSEPH A VANDER WALDE
Active
Individual
DR. JOSEPH A VANDER WALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101029782
VA
208000000X
Pediatrics Physician
Primary
D0022101
MD
208000000X
Pediatrics Physician
MD11026
DC
Other
Enumeration date
12/12/2006
Last updated
05/27/2021
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