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Dr. Glenn Eric Waldman, MD
Specialist in Thousand Oaks, California
NPI 1881665586

Glenn Eric Waldman is a Specialist based in Thousand Oaks, CA. Glenn Eric Waldman practices in Thousand Oaks, CA and has the professional credentials of MD. The NPI Number for Glenn Eric Waldman is 1881665586 and holds a License No. A62183 (California).

The current practice location address for Glenn Eric Waldman is 415 Rolling Oaks Dr, Thousand Oaks, CA and can be reached out via phone at 805-494-4797 and via fax at 805-494-4810. You can also correspond with Glenn Eric Waldman through the mailing address at 415 ROLLING OAKS DR, THOUSAND OAKS, CA - 91361-1029 (mailing address contact number: 805-494-4797).

Location: 415 Rolling Oaks Dr, Thousand Oaks, CA, 91361-1029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881665586
Provider Name
Glenn Eric Waldman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 Rolling Oaks Dr, Thousand Oaks, CA, 91361-1029
Phone Number
805-494-4797
Fax Number
805-494-4810
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A62183A 05 CA
institution
Provider Business Practice Location Address Details
Address
415 Rolling Oaks Dr
City
Thousand Oaks
State
California
Zip
91361-1029
Phone Number
805-494-4797
Fax Number
805-494-4810
person
Provider Business Mailing Address Details
Address
415 Rolling Oaks Dr
City
Thousand Oaks
State
California
Zip
91361-1029
Phone Number
805-494-4797
Fax Number
805-494-4810
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A62183 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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