NPI 1265775407 · live from the CMS NPI Registry
John W Wax, MD
Pediatrics, Hospice and Palliative Medicine in Burlington, VT. National Provider Identifier 1265775407, active.
NPI record
| NPI | 1265775407 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Hospice and Palliative Medicine 2080H0002X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-4848 |
| Enumerated | April 5, 2013 |
| Last updated | August 8, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Hospice and Palliative Medicine primary | 2080H0002X | 042.0014099 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.