Individual
DOUGLAS WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6358 SPRINGFIELD PLZ, SPRINGFIELD, VA 22150-3431
(703) 644-5437
Mailing address
1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
(516) 207-7851
(914) 259-5499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101268482
VA
208000000X
Pediatrics Physician
D0096941
MD
Other
Enumeration date
04/02/2016
Last updated
04/16/2023
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