Waxman, Gary Jay

Waxman, Gary Jay is an individual health care provider with primary practice located at 816 Independence Blvd Ste 2A, Virginia Beach VA 23455-6010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Waxman, Gary Jay can be contacted via phone (757) 363-6712.

Contact Information

Primary practice address
816 Independence Blvd Ste 2A Virginia Beach VA 23455-6010
Phone: (757) 363-6712
Fax: (757) 363-6204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101059225 Virginia

Profile Details

NPI number 1023008018
LBN Legal business name Waxman, Gary Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Mar 5th, 2009 - about 17 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 1023008018 NPPES
Virginia MEDICAID 010125529

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