Waxenbaum, Steven
Waxenbaum, Steven is an individual health care provider with primary practice located at 216 Engle St , Englewood NJ 07631-2444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Waxenbaum, Steven can be contacted via phone (201) 567-7615.Contact Information
Primary practice address
216 Engle St
Englewood NJ 07631-2444
Phone: (201) 567-7615
Fax: (201) 567-8033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 25MA06065300 | New Jersey |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MA060653 | New Jersey |
Profile Details
| NPI number | 1952373466 |
|---|---|
| LBN Legal business name | Waxenbaum, Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952373466 | NPPES |
| New Jersey | MEDICAID | 6392806 | |
| New Jersey | Other | 20051753 |
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