Individual
CHARLES MICHAEL WAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 COLGATE DR, SUITE 104, FOREST HILL, MD 21050-2624
(410) 838-1051
(410) 838-5325
Mailing address
1617 N BEND RD, JARRETTSVILLE, MD 21084-1329
(410) 838-1051
(410) 838-5325
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0024542
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010183
EMPLOYEE HEALTH PLAN
MD
01
—
1930001
BXBS BLUE CHOICE HMO
DC
01
—
1930001
BXBS FEDERAL
MD
01
—
290708
ALLIANCE PPO
MD
01
—
34076
COVENTRY HEALTHCARE
DE
01
—
3711148
CIGNA HEALTHCARE
CT
01
—
4217234
AETNA HEALTHCARE
PA
01
—
494353
NATIONAL CAPITOL PPO
DC
01
—
67160
PRIVATE HEALTHCARE SYSTEM
—
01
—
8905CM
MARYLAND BXBS
MD
Enumeration date
07/10/2006
Last updated
09/04/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us