Individual
GARY D WALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-3097
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
(410) 502-0550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
185574
NY
207RC0000X
Cardiovascular Disease Physician
Primary
D23460
MD
207RI0011X
Interventional Cardiology Physician
185574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01243672
—
NY
05
—
306811100
—
MD
Enumeration date
09/26/2005
Last updated
02/20/2013
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