# MARCIA WAITZMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639176910
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 031416 | CT | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 145062-1 | NY | — |
| 207V00000X | Obstetrics & Gynecology Physician | 242462 | MA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA09212800 | NJ | — |
| 207V00000X | Obstetrics & Gynecology Physician | D0033764 | MD | — |
| 207V00000X | Obstetrics & Gynecology Physician | G49767 | CA | — |

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 03/05/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1314161 | — | CT |