Charles Michael Wax in Jarrettsville - Adolescent Medicine
Charles Michael Wax - NPI 1184658148
Charles Michael Wax is a Adolescent Medicine in Jarrettsville, Maryland. Charles Michael Wax practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Charles Michael Wax is 1184658148. The last update date is 2008-09-04.
Charles Michael Wax's current location address is 1617 N Bend Rd, Jarrettsville, Maryland. You can contact this provider via phone number 4108381051 and fax number 4108385325. The mailing address for Charles Michael Wax is 1617 N Bend Rd, Jarrettsville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Michael Wax |
|---|---|
| Address | 1617 N Bend Rd, Jarrettsville, Maryland |
| Phone Number | 4108381051 |
| Fax Number | 4108385325 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184658148 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2008-09-04 |
Provider Mailing Address Detail
| Address | 1617 N Bend Rd |
|---|---|
| City | Jarrettsville |
| State | Maryland (MD) |
| Post Code | 210841329 |
| Phone Number | 4108381051 |
| Fax Number | 4108385325 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | D0024542 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290708 | MD | ALLIANCE PPO | |
| 67160 | PRIVATE HEALTHCARE SYSTEM | ||
| 10183 | MD | EMPLOYEE HEALTH PLAN | |
| 290708 | MD | MD-IPA | |
| 3711148 | CT | CIGNA HEALTHCARE | |
| 1930001 | MD | BXBS FEDERAL | |
| 34076 | DE | COVENTRY HEALTHCARE | |
| 494353 | DC | NATIONAL CAPITOL PPO | |
| 1930001 | DC | BXBS BLUE CHOICE HMO | |
| 290708 | MD | OPTIMUM CHOICE HMO |
Post Comment/ Review Below
What is the unique identifier code issued to Charles Michael Wax by the Centers for Medicare & Medicaid Services?
The Charles Michael Wax has been assigned the NPI (National Provider Identifier) 1184658148. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charles Michael Wax?
The Charles Michael Wax is physically situated at 1617 N Bend Rd, in the city of Jarrettsville, state of MD, with the postal code 210841329.
What is the area of specialization for Charles Michael Wax, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Michael Wax is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184658148 to Charles Michael Wax?
The Centers for Medicare & Medicaid Services originally issued the 1184658148 to Charles Michael Wax on 2006-07-10.
As of what date was the information pertaining to Charles Michael Wax, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles Michael Wax, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-09-04.