Wahl, David

Wahl, David is an individual health care provider with primary practice located at 62 Market St , Lynn MA 01902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Wahl, David can be contacted via phone (781) 595-4717.

Contact Information

Primary practice address
62 Market St Lynn MA 01902
Phone: (781) 595-4717
Fax: (781) 595-5479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 153874 Massachusetts

Profile Details

NPI number 1396723110
LBN Legal business name Wahl, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1396723110 NPPES
Massachusetts MEDICAID 3182193

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