Waltz, David A
Waltz, David A is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Waltz, David A can be contacted via phone (617) 355-1900.Contact Information
Primary practice address
300 Longwood Ave
Boston MA 02115-5724
Phone: (617) 355-1900
Fax: (617) 730-0084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 59599 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 59599 | Massachusetts |
Profile Details
| NPI number | 1952491227 |
|---|---|
| LBN Legal business name | Waltz, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952491227 | NPPES |
| Massachusetts | MEDICAID | 3075630 |
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