MARCIA WAITZMAN MD NPI 1639176910

NPI Information

  • NPI: 1639176910
  • Provider Name: MARCIA WAITZMAN, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 680 CENTRE ST
    BROCKTON, MA
    ZIP 02302
  • Phone: (508) 941-7299

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NPI Details

Marcia Waitzman, MD is an obstetrics gynecology in Brockton, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Marcia Waitzman, MD NPI is 1639176910. 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:

680 CENTRE ST
BROCKTON, MA
ZIP 02302-308
Phone: (508) 941-7299

The enumeration date for this NPI number is 7/1/2005 and was last updated on 3/5/2019.

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
1207V00000XObstetrics & Gynecology031416CONNECTICUTYes
2207V00000XObstetrics & Gynecology25MA09212800NEW JERSEYNo
3207V00000XObstetrics & Gynecology145062-1NEW YORKNo
4207V00000XObstetrics & GynecologyD0033764MARYLANDNo
5207V00000XObstetrics & GynecologyG49767CALIFORNIANo
6207V00000XObstetrics & Gynecology242462MASSACHUSETTSNo

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
11314161MEDICAIDCONNECTICUT

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: 11/21/2025

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