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NPI Code Detail

MEDICARE: DR. MARTIN WALDER D.C.

MEDICARE:  DR. MARTIN  WALDER  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2034MA

General Provider Information

NPI Number : 1629137237
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN WALDER D.C.
Provider Business Mailing Address
First Line : 228 TRIANGLE STREET
Second Line : STE 4
City : AMHERST
State : MA
Zip : 01002
Country : US
Telephone Number : 413-549-1500
Fax Number :
Provider Business Practice Location Address
First Line : 228 TRIANGLE ST STE 4
Second Line :
City : AMHERST
State : MA
Zip : 01002-2169
Country : US
Telephone Number : 413-549-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 07/21/2022

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Directions to “ DR. MARTIN WALDER D.C.” Practice Location

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