Individual
JOSEPH WAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
887 CONGRESS ST, SUITE 200, PORTLAND, ME 04102-3100
(207) 771-5549
(207) 771-7834
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
015444
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291610099
—
ME
05
—
30201317
—
NH
Enumeration date
01/11/2007
Last updated
10/24/2011
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