Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI Number | 1104174697 |
| LBN Legal business name | DR. JEROME WAYE M.D., P.C. |
| Authorized official | MARYANN BRANDO - (OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/15/2012 |
| Last updated | 08/15/2012 - About 14 years ago |
| Identifiers | n/a |
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