Provider Demographics
NPI:1699909192
Name:WAITMAN, ALBERT MARVIN (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:MARVIN
Last Name:WAITMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:135 E 71ST ST
Mailing Address - Street 2:PENTHOUSE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4258
Mailing Address - Country:US
Mailing Address - Phone:212-717-4710
Mailing Address - Fax:212-717-4712
Practice Address - Street 1:135 E 71ST ST
Practice Address - Street 2:PENTHOUSE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4258
Practice Address - Country:US
Practice Address - Phone:212-717-4710
Practice Address - Fax:212-717-4712
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY091059207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology