Doctor Name: | CHARLES MICHAEL WAX |
NPI Number: | 1184658148 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D0024542 |
Business Practice Address: | 2 Colgate Dr Suite 104 Forest Hill, MD - 210502624 |
Business Phone Number: | 4108381051 |
Business Fax Number: | 4108385325 |
Mailing Address: | 1617 N Bend Rd, JARRETTSVILLE |
State: | MD |
Postal Code: | 210841329 |
Phone Number: | 4108381051 |
Fax Number: | 4108385325 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | D0024542 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy 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. |