Leonore Kristine Wald PA-C

NPI 1124241104 - Physician Assistant - 363A00000X

NPI Details
NPI 1124241104
Gender Female
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
36 WALCOTT RD
BEVERLY MA, 01915-2343, US
Phone (978) 969-5998
Fax
Business Location
36 WALCOTT RD
BEVERLY MA, 01915-2343, US
Phone (978) 969-5998
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Massachusetts
License Number 1630
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According to our database, Ms. Leonore Kristine Wald PA-C NPI is 1124241104, taxonomy code is 363A00000X and license number is 1630, license state is located at Massachusetts. Leonore Kristine Wald PA-C physically located at 36 Walcott Rd, Beverly MA, 01915-2343. NPI Number Leonore Kristine Wald PA-C has the Individual type.

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1124241104 NPI number is provided on an as is basis without warranty of any kind. 1124241104 is maintained by the National Plan & Provider Enumeration System. The contents of Leonore Kristine Wald PA-C are for informational purposes only.