Individual
JOSHUA WAITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
171 PILGRIM RD # LIBBY2, BOSTON, MA 02215-5332
(617) 632-9896
Mailing address
171 PILGRIM RD # LIBBY2, BOSTON, MA 02215-5332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125 066440
IL
207R00000X
Internal Medicine Physician
279197
MA
207RN0300X
Nephrology Physician
Primary
297197
MA
Other
Enumeration date
01/17/2015
Last updated
11/17/2022
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