Individual
JOYCE W WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR, PHILADELPHIA, PA 19140
(215) 615-4949
(215) 615-0829
Mailing address
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR, PHILADELPHIA, PA 19140
(215) 615-4949
(215) 615-0829
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
OS008299L
PA
207RC0000X
Cardiovascular Disease Physician
OS008299L
PA
207RI0011X
Interventional Cardiology Physician
OS008299L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017549800001
—
PA
Enumeration date
10/13/2005
Last updated
09/13/2017
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