Individual
MARTIN BRUCE WAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 BRANCH RD, FAR HILLS, NJ 07931-2240
(817) 966-3069
Mailing address
NYU LANGONE MEDICAL CENTER, 222 EAST 41ST, NEW YORK, NY 10017
(212) 263-2573
Taxonomy
Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
284054-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179535303
—
TX
Enumeration date
01/08/2007
Last updated
09/25/2019
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