Gary David Waldman in Charlotte - Dermatology

Gary David Waldman - NPI 1487615795

Gary David Waldman is a Dermatology in Charlotte, North Carolina. Gary David Waldman practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Gary David Waldman is 1487615795. The last update date is 2012-04-03.

Gary David Waldman's current location address is 10512 Park Rd, Charlotte, North Carolina. You can contact this provider via phone number 7045428018 and fax number 7045427147. The mailing address for Gary David Waldman is 10512 Park Rd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary David Waldman
Address 10512 Park Rd, Charlotte, North Carolina
Phone Number 7045428018
Fax Number 7045427147
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1487615795
Provider Enumeration Date 2006-03-29
Last Updated Date 2012-04-03

Provider Mailing Address Detail

Address 10512 Park Rd
City Charlotte
State North Carolina (NC)
Post Code 282108469
Phone Number 7045428018
Fax Number 7045427147

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 26610
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7985246 NC --
70009176 NC RAILROAD MEDICARE
85246 NC BLUE CROSS BLUE SHIELD

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FAQs about Gary David Waldman

What is the Gary David Waldman's 1487615795?

The Gary David Waldman's NPI (National Provider Identifier) Number is 1487615795. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Gary David Waldman is physically located?

The Gary David Waldman is physically situated at the following address: 10512 Park Rd, Charlotte, NC, 282108469.

What is Gary David Waldman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gary David Waldman's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1487615795 to Gary David Waldman?

The Centers for Medicare & Medicaid Services assigned the 1487615795 to Gary David Waldman on 2006-03-29.

When was the Gary David Waldman's information last updated?

The Gary David Waldman's information was last updated on 2012-04-03.

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