Individual
NOAM A VANDERWALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1733
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, ATTN: CREDENTIALING, GERMANTOWN, TN 38138-3941
(901) 322-9080
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
23666
MS
2085R0001X
Radiation Oncology Physician
Primary
51603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08408361
—
MS
05
—
Q009036
—
TN
Enumeration date
05/19/2009
Last updated
04/05/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us