Organization
CRAIG M. WAX, DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG M WAX DO (MEDICAL DIRECTOR)
(856) 478-4780
Entity
Organization
Contact information
Practice address
155 N MAIN ST, MULLICA HILL, NJ 08062-2612
(856) 478-4780
(856) 478-0789
Mailing address
155 N MAIN ST, MULLICA HILL, NJ 08062-2612
(856) 478-4780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB62553
NJ
Other
Enumeration date
01/13/2007
Last updated
08/22/2020
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