Individual
GAIL JOANNA WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
834 CHESTNUT ST STE 306, PHILADELPHIA, PA 19107-5100
(215) 545-8188
Mailing address
834 CHESTNUT ST STE 306, PHILADELPHIA, PA 19107-5100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD484542
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2021
Last updated
06/14/2024
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