Individual
DR. MICHAEL WAISBOURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 WALNUT ST, 11TH FLOOR, PHILADELPHIA, PA 19107-5109
(215) 928-3190
Mailing address
840 WALNUT ST, 11TH FLOOR, PHILADELPHIA, PA 19107-5109
(215) 928-3190
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD445757
PA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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