Individual
ADAM JUSTIN WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BOULEVARD, PERELMAN CENTER FOR ADVANCED MEDICINE, PHILADELPHIA, PA 19104
(215) 615-5858
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 615-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD449902
PA
207RH0003X
Hematology & Oncology Physician
MD449902
PA
Other
Enumeration date
06/01/2011
Last updated
06/29/2018
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