Individual
DR. MARC PAUL WAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
622 W 168TH ST, PH10-203, NEW YORK, NY 10032-3720
(212) 851-5350
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 851-5350
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
270702
NY
207RC0000X
Cardiovascular Disease Physician
27072
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
270702
NY
Other
Enumeration date
04/15/2010
Last updated
05/19/2021
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