Waxman, Robert Noah

Waxman, Robert Noah is an individual health care provider with primary practice located at 350 Boulevard , Passaic NJ 07055-2840. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Waxman, Robert Noah can be contacted via phone (973) 365-4300.

Contact Information

Primary practice address
350 Boulevard Passaic NJ 07055-2840
Phone: (973) 365-4300
Fax: (973) 365-9980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA6998700 New Jersey

Profile Details

NPI number 1467422105
LBN Legal business name Waxman, Robert Noah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 31st, 2014 - about 10 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 1467422105 NPPES
New Jersey MEDICAID 8617201

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