Individual
ANDREW M WAKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
217 FRANKLIN AVE, SUITE 5, PALMERTON, PA 18071-1509
(610) 824-5050
(610) 824-5053
Mailing address
217 FRANKLIN AVE, SUITE 5, PALMERTON, PA 18071-1509
(610) 824-5050
(610) 824-5053
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
OS008560L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015442860004
—
PA
01
—
134975
MEDPLUS/UNISON
PA
01
—
3184601
CAPITAL BLUE CROSS
PA
01
—
3Y1476
HEALTHNET
PA
01
—
596729
BLUE SHIELD
PA
01
—
73747
GEISINGER
PA
01
—
818551
BLUE CARE/FIRST PRIORITY
PA
01
—
9601794
GHI
PA
01
—
P00008002
MEDICARE RAILROAD
PA
Enumeration date
04/04/2006
Last updated
01/14/2013
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