Waxman, Mark Steven
Waxman, Mark Steven is an sole proprietor health care provider with primary practice located at 312 Belleville Tpke Suite 1B, North Arlington NJ 07031-6463. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Waxman, Mark Steven can be contacted via phone (201) 997-6776.Contact Information
Primary practice address
312 Belleville Tpke Suite 1B
North Arlington NJ 07031-6463
Phone: (201) 997-6776
Fax: (201) 997-6610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25MA03630700 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA03630700 | New Jersey |
Profile Details
| NPI number | 1396719894 |
|---|---|
| LBN Legal business name | Waxman, Mark Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jun 16th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396719894 | NPPES |
| New Jersey | MEDICAID | 60133446 |
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