Organization
MIDDLESEX THORACIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD KENNETH WAKSMAN MD (OWNER)
(732) 698-7344
Entity
Organization
Contact information
Practice address
58 VALLEY FORGE DR, EAST BRUNSWICK, NJ 08816-3278
(732) 698-7344
(413) 513-7664
Mailing address
58 VALLEY FORGE DR, EAST BRUNSWICK, NJ 08816-3278
(732) 698-7344
(413) 513-7664
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA70513
NJ
Other
Enumeration date
02/20/2008
Last updated
03/14/2008
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