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Individual

CARL JAY WALDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
440 E MARSHALL ST, WEST CHESTER, PA 19380-5414
(610) 696-8900
Mailing address
1101 SAM PERRY BLVD, STE 414, FREDERICKSBURG, VA 22401-4466
(540) 899-1354
(540) 899-1359

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101058795
VA
2084N0400X
Neurology Physician
MD459437
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7112114
VA
Enumeration date
10/26/2005
Last updated
03/25/2019
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