Individual
DR. JAMES G WAXMONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 NORTHEAST DR, HERSHEY, PA 17033-2732
(717) 531-8338
(717) 531-6250
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD448664
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028509010001
—
PA
01
—
315739
MEDICARE
PA
Enumeration date
10/10/2006
Last updated
02/23/2018
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