Individual
MICHAEL J WAXMAN
Active
Individual
MICHAEL J WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12085
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04/15/2009
UNITED HEALTH CARE
RI
01
—
07/09/2009
NHPRI
RI
01
—
12/29/2008
TUFTS HEALTH PLAN
MA
01
—
1518904481
NPI
RI
05
—
2122391
—
MA
01
—
413466
BLUECHIP
RI
05
—
7058603
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
06/01/2006
Last updated
02/05/2010
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