STEPHEN G WAXMAN MD NPI 1558346874

NPI Information

  • NPI: 1558346874
  • Provider Name: STEPHEN G WAXMAN, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 40 TEMPLE ST
    SUITE 6-C
    NEW HAVEN, CT
    ZIP 06510
  • Phone: (203) 785-4085

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NPI Details

Stephen G Waxman, MD is a neurology psychiatry neurology in New Haven, CT. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Stephen G Waxman, MD NPI is 1558346874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

40 TEMPLE ST
SUITE 6-C
NEW HAVEN, CT
ZIP 06510-715
Phone: (203) 785-4085
Fax: (203) 737-1597

The enumeration date for this NPI number is 12/9/2005 and was last updated on 4/7/2011.

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
12084N0400XPsychiatry & NeurologyNeurology027345CONNECTICUTYes

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
1130000167MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
2001273457MEDICAIDCONNECTICUT
3A46740MEDICARE UPIN

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: 3/30/2025

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