Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Harold D Waller, MD

Individual provider Surgery Physician · NPI 1063942209

Harold D Waller, MD is a Vascular Surgery in Boston, Massachusetts. Graduated from Medical College of Georgia School of Medicine in 2017, 9 years ago. Practices with University Surgical Associates of Athens, a 15-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Trained at
Medical College of Georgia School of Medicine
Licensed in
MA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Massachusetts General Hospital 55 Fruit St
Boston, MA 02114
Phone: (617) 726-2558
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Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 272380 (MA)

Record details

NPI number1063942209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESJune 19, 2017
Mailing addressMassachusetts General Hospital, 55 Fruit St., Boston, MA 02114

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice University Surgical Associates Of Athens — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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