Individual
MARINA WAAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
5407 2ND AVE APT 6B, BROOKLYN, NY 11220-2608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A174318
CA
Other
Enumeration date
08/07/2018
Last updated
04/09/2026
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