Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | OS008299L | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | OS008299L | PA |
N | 207RI0011X | Interventional Cardiology | OS008299L | PA |
NPI | 1275522120 |
---|---|
Provider Name | Joyce W Wald |
First Address | Philadelphia, PA 19140 |
Second Address | Philadelphia, PA 19140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 13/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017549800001 | (05) | PA |
H03723 | (02) |