Waitzman, David M

Waitzman, David M is an individual health care provider with primary practice located at 85 Seymour St Ste 825 , Hartford CT 06106-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Waitzman, David M can be contacted via phone (860) 621-1896.

Contact Information

Primary practice address
85 Seymour St Ste 825 Hartford CT 06106-5501
Fax: (860) 621-0189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 031341 Connecticut

Profile Details

NPI number 1285631564
LBN Legal business name Waitzman, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jan 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285631564 NPPES
Connecticut MEDICAID 1313410

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