Individual
DAVID M WAITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR ST STE 825, HARTFORD, CT 06106-5501
(860) 621-1896
(860) 621-0189
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
031341
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1313410
—
CT
Enumeration date
07/01/2005
Last updated
01/11/2022
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