NOAM A VANDERWALDE

GERMANTOWN, TN
NPI1285869362
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0001X 
(Licence: TN  51603)
Additional Taxonomies2085R0001X 
(Licence: MS  23666)
Enumeration Date2009-05-19
Last Update Date2016-04-05
Business Address
-- NOAM A VANDERWALDE MD
7945 WOLF RIVER BLVD
GERMANTOWN, TN 38138-1733
Phone number: 901-683-0055
Mailing Address
-- NOAM A VANDERWALDE MD
7714 POPLAR AVE STE 200 ATTN: CREDENTIALING
GERMANTOWN, TN 38138-3941
Phone number: 901-322-9080
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