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Jack Waxman, MD
Rheumatology Physician in Santa Rosa, California
NPI 1104824994

Jack Waxman is a Rheumatology Physician based in Santa Rosa, CA and is specialized in Rheumatology. Jack Waxman practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Jack Waxman is 1104824994 and holds a License No. G23398 (California).

The current practice location address for Jack Waxman is 4015 Quartz Dr, Santa Rosa, CA and can be reached out via phone at 707-481-7215.

Location: 4015 Quartz Dr, Santa Rosa, CA, 95405-5580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104824994
Provider Name
Jack Waxman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4015 Quartz Dr, Santa Rosa, CA, 95405-5580
Phone Number
707-481-7215
Fax Number
Provider Enumeration Date
07/14/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
660002485 01 CA RAILROAD MEDICARE
00G233980 05 CA
00G233980 01 CA BLUE SHIELD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
4015 Quartz Dr
City
Santa Rosa
State
California
Zip
95405-5580
Phone Number
707-481-7215
Fax Number
person
Provider Business Mailing Address Details
Address
4015 Quartz Dr
City
Santa Rosa
State
California
Zip
95405-5580
Phone Number
707-481-7215
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
G23398 (California)
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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