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Individual

DR. JONATHAN A WAXBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
35 HOYT ST, STAMFORD, CT 06905-5602
(203) 324-2268
(203) 324-4866
Mailing address
35 HOYT ST, STAMFORD, CT 06905-5602
(203) 324-2268
(203) 324-4866

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
26105
CT

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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