Waldman, Carl Jay

Waldman, Carl Jay is an individual health care provider with primary practice located at 440 E Marshall St , West Chester PA 19380-5414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Waldman, Carl Jay can be contacted via phone (610) 696-8900.

Contact Information

Primary practice address
440 E Marshall St West Chester PA 19380-5414
Phone: (610) 696-8900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101058795 Virginia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD459437 Pennsylvania

Profile Details

NPI number 1750371274
LBN Legal business name Waldman, Carl Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750371274 NPPES
Virginia MEDICAID 7112114

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