DR. SEUNG-YEUN WAITZE M.D NPI 1437114071

NPI Information

NPI: 1437114071
Provider Name: DR. SEUNG-YEUN WAITZE, M.D,
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
22 POVERTY RD
SOUTHBURY, CT
ZIP 06488
Phone: (203) 262-6200
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DR. Seung-yeun Waitze, M.D, is a specialist in Southbury, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Seung-yeun Waitze, M.D, NPI is 1437114071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22 POVERTY RD
SOUTHBURY, CT
ZIP 06488-254
Phone: (203) 262-6200
Fax: (203) 262-6205

The NPI 1437114071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 12/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		038906	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H54455	MEDICARE UPIN	CONNECTICUT
2	C03456	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	GROUP #
3	001389065	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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