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Individual

DR. STEVEN WAXENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
216 ENGLE ST, ENGLEWOOD, NJ 07631-2444
(201) 567-7615
(201) 567-8033
Mailing address
216 ENGLE ST, ENGLEWOOD, NJ 07631-2444
(201) 567-7615
(201) 567-8033

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA060653
NJ
208C00000X
Colon & Rectal Surgery Physician
25MA06065300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20051753
MEDICARE RAILROAD
NJ
05
6392806
NJ
Enumeration date
02/07/2006
Last updated
09/11/2025
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