Individual
JOSHUA ALEX WAXENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2859 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-7613
(757) 395-1300
(757) 226-0247
Mailing address
2859 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-7613
(757) 395-1300
(757) 226-0247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102208993
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2019
Last updated
10/24/2025
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