Individual
MR. DAVID WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
62 MARKET ST, LYNN, MA 01902
(781) 595-4717
(781) 595-5479
Mailing address
62 MARKET ST, LYNN, MA 01902
(781) 595-4717
(781) 595-5479
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
153874
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3182193
—
MA
Enumeration date
01/03/2006
Last updated
07/08/2007
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