Individual
JENNIFER WAXLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
MONMOUTH MEDICAL CENTER (EMERGENCY DEPARTMENT), 300 SECOND AVENUE, NJ 07740
(732) 222-5200
Mailing address
PO BOX 717, LIVINGSTON, NJ 07039-0717
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB06158800
NJ
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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