Individual
DR. MATTHEW BEN WALLENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
4012 BUENA VISTA ST, DALLAS, TX 75204-7804
(214) 433-2553
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2010017376
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A118384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U2035
MEDICAL LICENSE
TX
Enumeration date
06/16/2010
Last updated
03/05/2024
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