Individual
DR. WALLACE E WALDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 CONCHSHELL MANOR, PLANTATION, FL 33324-2901
(954) 472-2767
Mailing address
721 CONCHSHELL MANOR, PLANTATION, FL 33324-2901
(954) 472-2767
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23019
FL
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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