Dr. Deborah J Wald, MD
Pediatrics in Revere, Massachusetts
1124019039- Practice location
- 300 Ocean Ave, Rhc Revere Healthcare Center, Revere, MA 02151-3675
- Phone
- 617-485-6350
- Fax
- 617-485-6391
- Last updated
- July 13, 2026
Deborah Jean Wald is a Pediatrics based in Revere, MA. Deborah Jean Wald practices in Revere, MA and has the professional credentials of MD. The NPI Number for Deborah Jean Wald is 1124019039 and holds a License No. 79608 (MA). The current practice location address for Deborah Jean Wald is 300 Ocean Ave, Rhc Revere Healthcare Center, Revere, MA 02151-3675 and can be reached out via phone at 617-485-6350 and via fax at 617-485-6391.
Provider Profile Details
- NPI Number
- 1124019039
- Provider Name
- Deborah Jean Wald
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 300 Ocean Ave, Rhc Revere Healthcare Center, Revere, MA 02151-3675
- Phone Number
- 617-485-6350
- Fax Number
- 617-485-6391
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 31, 2005
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Ocean Ave
Rhc Revere Healthcare Center
Revere, MA 02151-3675 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3675
- Phone Number
- 617-485-6350
- Fax Number
- 617-485-6391
Provider Business Mailing Address Details
- Address
- Po Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142 - City
- Charlestown
- State
- MA
- Zip
- 02129-9142
- Phone Number
- 617-724-0287
- Fax Number
- 617-726-2894
License Information
- License Number (1)
- 79608
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 79608
- License State (2)
- MA
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Revere, MA
View all Pediatrics providers in Revere →Frequently Asked Questions
What is the NPI number of Dr. Deborah J Wald, MD?
The NPI number of Dr. Deborah J Wald, MD is 1124019039. It was assigned on October 31, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Deborah J Wald, MD?
Dr. Deborah J Wald, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 79608.
Where does Dr. Deborah J Wald, MD practice?
The practice location is 300 Ocean Ave, Rhc Revere Healthcare Center, Revere, MA 02151-3675. The office can be reached at 617-485-6350 (phone) or 617-485-6391 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124019039 directly on the NPPES registry website.