Dr Joseph A Vander Walde, MD | |
6104 Old Branch Ave, Temple Hills, MD 20748-2518 | |
(301) 702-5100 | |
(301) 702-6366 |
Full Name | Dr Joseph A Vander Walde |
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Gender | Male |
Speciality | Pediatrics |
Location | 6104 Old Branch Ave, Temple Hills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912068339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD11026 (District Of Columbia) | Secondary |
208000000X | Pediatrics | 0101029782 (Virginia) | Secondary |
208000000X | Pediatrics | D0022101 (Maryland) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Mailing Address | Practice Location Address |
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Dr Joseph A Vander Walde, MD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424 | Dr Joseph A Vander Walde, MD 6104 Old Branch Ave, Temple Hills, MD 20748-2518 Ph: (301) 702-5100 |
Dr. Karen Dixon Carrington, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748 Phone: 301-702-3049 | |
Dr. Andrea Karin Prosser, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6104 Old Branch Avenue, Temple Hills, MD 20748 Phone: 301-702-6100 Fax: 301-702-6366 | |
Dr. Zafar Husain, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6104 Old Branch Avenue, Temple Hills, MD 20748 Phone: 301-702-6100 Fax: 301-702-6366 | |
Dr. Tami Renee Collins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6104 Old Branch Ave, Kaiser Permanente Camp Springs Medical Center, Temple Hills, MD 20748 Phone: 301-702-6100 Fax: 301-702-6366 | |
Dr. Fannie Brown, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6104 Old Branch Avenue, Temple Hills, MD 20748 Phone: 301-702-6100 Fax: 301-702-6367 |