Active NPIIndividual provider

Marcia Waitzman, MD

Obstetrics & Gynecology in Brockton, Massachusetts

NPI Number1639176910
Practice location
680 Centre St, Brockton, MA 02302-3308
Fax
—
Last updated
March 5, 2019

Marcia Waitzman is an Obstetrics & Gynecology based in Brockton, MA. Marcia Waitzman practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Marcia Waitzman is 1639176910 and holds a License No. 242462 (MA). The current practice location address for Marcia Waitzman is 680 Centre St, Brockton, MA 02302-3308 and can be reached out via phone at 508-941-7299.

Provider Profile Details

NPI Number
1639176910
Provider Name
Marcia Waitzman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
680 Centre St, Brockton, MA 02302-3308
Phone Number
508-941-7299
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
July 1, 2005
Last Update Date
March 5, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Centre St
Brockton, MA 02302-3308
Zip
02302-3308
Phone Number
508-941-7299
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
22 High Point Ln
West Hartford, CT 06107-1135
City
West Hartford
State
CT
Zip
06107-1135
Phone Number
860-604-6998
Fax Number
860-232-6886

License Information

License Number (1)
242462
License State (1)
MA
Taxonomy (1)
Obstetrics & Gynecology · 207V00000X
License Number (2)
G49767
License State (2)
CA
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X
License Number (3)
D0033764
License State (3)
MD
Taxonomy (3)
Obstetrics & Gynecology · 207V00000X
License Number (4)
145062-1
License State (4)
NY
Taxonomy (4)
Obstetrics & Gynecology · 207V00000X
License Number (5)
25MA09212800
License State (5)
NJ
Taxonomy (5)
Obstetrics & Gynecology · 207V00000X
License Number (6)
031416
License State (6)
CT
Taxonomy (6)
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marcia Waitzman, MD?

The NPI number of Marcia Waitzman, MD is 1639176910. It was assigned on July 1, 2005 and is currently active in the NPPES registry.

What is the specialty of Marcia Waitzman, MD?

Marcia Waitzman, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in MA under license number 242462.

Where does Marcia Waitzman, MD practice?

The practice location is 680 Centre St, Brockton, MA 02302-3308. The office can be reached at 508-941-7299 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639176910 directly on the NPPES registry website.

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