Individual
MICHAEL N WALTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
965 WHITE PLAINS RD, 3RD FLOOR, TRUMBULL, CT 06611-4566
(203) 268-0228
(203) 268-0378
Mailing address
965 WHITE PLAINS RD, 3RD FLOOR, TRUMBULL, CT 06611-4566
(203) 268-0228
(203) 268-0378
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
042069
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004245149
—
CT
Enumeration date
06/30/2006
Last updated
05/31/2013
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