Individual
DR. HARLAN IRA WALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 SE 10TH ST, FORT LAUDERDALE, FL 33316-1419
(954) 523-7204
Mailing address
1501 SE 10TH ST, FORT LAUDERDALE, FL 33316-1419
(954) 523-7204
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME17550
FL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
ME17550
FL
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
ME17550
FL
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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