Provider Demographics
NPI:1124340757
Name:WALD, RON (MD)
Entity type:Individual
Prefix:DR
First Name:RON
Middle Name:
Last Name:WALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:588 ST. CLEMENTS AVENUE
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M5N 1M6
Mailing Address - Country:CA
Mailing Address - Phone:416-785-2050
Mailing Address - Fax:
Practice Address - Street 1:ST. MICHAEL'S HOSPITAL
Practice Address - Street 2:30 BOND STREET
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M5B 1W8
Practice Address - Country:CA
Practice Address - Phone:416-867-3703
Practice Address - Fax:416-867-3709
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA224141207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology