Dr. John W Wax, MD
Pediatrics, Hospice and Palliative Medicine in Burlington, VT. Individual provider (NPI-1).
NPI number1265775407
StatusActive
Last updated in NPPESAug 8, 2018
Details
- NPI
- 1265775407
- Entity type
- Individual (NPI-1)
- Name
- Dr. John W Wax
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2013
- Last updated
- Aug 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080H0002X | Pediatrics, Hospice and Palliative Medicine | 042.0014099 | VT | Yes |
Practice location
111 Colchester AveBurlington, VT 05401
Phone 802-847-4848 · Fax 802-847-2929
Mailing address
111 Colchester AveBurlington, VT 05401-1473
Phone 802-847-4848 · Fax 802-847-2929
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