Individual provider · Type 1 NPI

Judith E. Wall, MD

Pediatric Hematology & Oncology Physician · Orlando, FL

NPI number 1972612745 Active

Practice location

1717 S Orange Ave, Suite 100
Orlando, FL 32806-2944

Call (407) 650-7000 Map

Fax (407) 650-7124

Mailing address

PO Box 191, Provider Enrollment Dept
Rockland, DE 19732-0191

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hematology & Oncology Physician Primary 2080P0207XME54564 (FL)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1972612745

Judith E. Wall, MD's National Provider Identifier is 1972612745, issued on Aug 29, 2006. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Orlando, FL. The record was last updated on Nov 23, 2011.