Individual
DR. DANIEL DAVID WAMBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST # 202, LEXINGTON, KY 40536-2726
(859) 323-5956
(859) 323-1080
Mailing address
16 ANNETTE AVE, HAWTHORNE, NJ 07506-1222
(973) 427-2704
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA07142400
NJ
207L00000X
Anesthesiology Physician
Primary
50923
KY
Other
Enumeration date
04/07/2006
Last updated
06/22/2018
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