| Craig M. Wax, Do, Llc | |
|
155 N Main St Mullica Hill NJ 08062-2612 | |
| (856) 478-4780 | |
| (856) 478-0789 |
| Full Name | Craig M. Wax, Do, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 155 N Main St, Mullica Hill, New Jersey |
| Authorized Official Name and Position | Craig M Wax (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8564784780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig M. Wax, Do, Llc 155 N Main St Mullica Hill NJ 08062-2612 Ph: (856) 478-4780 | Craig M. Wax, Do, Llc 155 N Main St Mullica Hill NJ 08062-2612 Ph: (856) 478-4780 |
| NPI Number | 1023169455 |
|---|---|
| Provider Enumeration Date | 01/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3274636618 |
|---|---|
| Medicare Enrollment ID | O20070306000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023169455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB62553 (New Jersey) | Primary |
| Provider Name | Craig M Wax |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124072285 PECOS PAC ID: 1557362209 Enrollment ID: I20070123000329 |
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