Individual provider · Type 1 NPI
Noam A. Vanderwalde, MD
Radiation Oncology Physician · Germantown, TN
NPI number
1285869362
Active
Practice location
7945 Wolf River Blvd
Germantown, TN 38138-1733
Fax (901) 685-2969
Mailing address
7714 Poplar Ave Ste 200, Attn: Credentialing
Germantown, TN 38138-3941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiation Oncology Physician Primary | 2085R0001X | 51603 (TN) |
| Radiation Oncology Physician | 2085R0001X | 23666 (MS) |
Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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About NPI 1285869362
Noam A. Vanderwalde, MD's National Provider Identifier is 1285869362, issued on May 19, 2009. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Germantown, TN. The record was last updated on Apr 5, 2016.