Waitzman, Marcia

Waitzman, Marcia is an individual health care provider with primary practice located at 680 Centre St , Brockton MA 02302-3308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Waitzman, Marcia can be contacted via phone (508) 941-7299.

Contact Information

Primary practice address
680 Centre St Brockton MA 02302-3308
Phone: (508) 941-7299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 242462 Massachusetts
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G49767 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0033764 Maryland
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 145062-1 New York
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA09212800 New Jersey
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 031416 Connecticut

Profile Details

NPI number 1639176910
LBN Legal business name Waitzman, Marcia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Mar 5th, 2019 - about 6 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 1639176910 NPPES
Connecticut MEDICAID 1314161

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