Dr. Mark L Waltzman
MD | Pediatric Emergency Medicine | Male
Dr. Mark L Waltzman, MD is a Boson, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Mark L Waltzman is
Children's Hospital Boston Division Of Emergency, 300 Longwood Ave, Boson, Massachusetts - 02115. He can be contacted on phone at
617-355-6624.
Dr. Mark L Waltzman is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mark L Waltzman is
1740248970 which was assigned by NPPES on 04 May, 2006 and it was last updated on 27 Oct, 2007.
Dr. Mark L Waltzman license number is
153293 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Massachusetts.
Dr. Mark L Waltzman has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Mark L Waltzman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Mark L Waltzman |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Mark L Waltzman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Children's Hospital Boston Division Of Emergency, 300 Longwood Ave
Boson, MA, 02115
United States |
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| Phone Number : | 617-355-6624 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740248970 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 May, 2006 |
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| Last Updated On : | 27 Oct, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark L Waltzman are as mentioned. Primary taxonomy code for Dr. Mark L Waltzman, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 153293 | MA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 153293 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mark L Waltzman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 3193240 | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 Longwood Ave, 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-6624 |
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Business Location:
Patients can refer following map for directions to
Dr. Mark L Waltzman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.