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Individual

DR. ALLAN WALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
613 S ATLANTIC DR, LANTANA, FL 33462-1947
(561) 540-6258
Mailing address
613 S ATLANTIC DR, LANTANA, FL 33462-1947

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME21416
FL
207RP1001X
Pulmonary Disease Physician
ME21416
FL

Other

Enumeration date
11/25/2013
Last updated
11/25/2013
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