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Individual

DR. WALTER CARL GOLDENBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
424 E 138TH ST, BRONX, NY 10454-3002
(718) 665-6116
Mailing address
228 SALOMONE AVE, WEST PATERSON, NJ 07424-3348
(973) 925-8662

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004615
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01197442
NY
Enumeration date
11/03/2006
Last updated
07/09/2007
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