NPI 1649319252

Jonathan a Waxberg, MD

Practitioner Urology Physician Stamford, CT

Practice location

Address: 35 Hoyt St, Stamford, CT 06905-5602
Phone: (203) 324-2268
Fax: (203) 324-4866

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 26105 (CT)

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Registry record

NPI: 1649319252
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.