Individual
DR. BRANDON M WACHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 RIDGELY AVE STE 110, ANNAPOLIS, MD 21401-1082
(410) 573-9191
(410) 573-5910
Mailing address
600 RIDGELY AVE STE 110, ANNAPOLIS, MD 21401-1082
(410) 573-9191
(410) 573-5910
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
7401
NE
207Y00000X
Otolaryngology Physician
D0091646
MD
207YS0123X
Facial Plastic Surgery Physician
Primary
D0091646
MD
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
D0091646
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219423600
—
MD
01
—
4695852
AETNA
MD
01
—
7401
TEP NUMBER
NE
01
—
D0091646
MARYLAND LICENSE
MD
01
—
FN66-0003
CAREFIRST BCBS
MD
Enumeration date
05/20/2015
Last updated
10/10/2022
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