Organization
MARK S WAXMAN MD PC
Active
Organization
MARK S WAXMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEVEN WAXMAN MD (PRESIDENT)
(201) 997-6776
Entity
Organization
Contact information
Practice address
312 BELLEVILLE TPKE, SUITE 1B, NORTH ARLINGTON, NJ 07031-6463
(201) 997-6776
(201) 997-6610
Mailing address
312 BELLEVILLE TPKE, SUITE 1B, NORTH ARLINGTON, NJ 07031-6463
(201) 997-6776
(201) 997-6610
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA03630700
NJ
Other
Enumeration date
03/08/2007
Last updated
07/01/2010
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