| Doctor Name: | LAWRENCE M WALD |
| NPI Number: | 1013987619 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA08175600 |
| Business Practice Address: | 1648 Huntingdon Pike Attn: Radiology Meadowbrook, PA - 190468001 |
| Business Phone Number: | 2156122610 |
| Business Fax Number: | 2156125077 |
| Mailing Address: | Po Box 782743, Attn: Credentialing PHILADELPHIA |
| State: | PA |
| Postal Code: | 191782743 |
| Phone Number: | 6029106887 |
| Fax Number: | 2156125077 |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 25MA08175600 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |