JOSEPH A VANDER WALDE

TEMPLE HILLS, MD
NPI1912068339
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MD  D0022101)
Additional Taxonomies208000000X Pediatrics
(Licence: DC  MD11026)
208000000X Pediatrics
(Licence: VA  0101029782)
Enumeration Date2006-12-12
Last Update Date2021-05-27
Business Address
Dr. JOSEPH A VANDER WALDE MD
6104 OLD BRANCH AVE
TEMPLE HILLS, MD 20748-2518
Phone number: 301-702-5100
Mailing Address
Dr. JOSEPH A VANDER WALDE MD
2101 E JEFFERSON ST KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD 20852-4908
Phone number: 301-816-2424