Search › Pennsylvania › 363A00000X
Idan Waksman, PA-C
NPI 1457991903 · on the registry since 2020
Practice
- Address
- 3400 Spruce Street
Ground Silverstein Bldg
Philadelphia, PA 19104 - Phone
- (617) 633-6414
- Organisation at this address
- Univ Of Penn-Urology
Univ Of Penn - Ob-Gyn
Univ Of Penn - Ob/Gyn
Univ Of Penn - Radiology
University Of Penn Ob/GynInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3,967
Additional practice sites
- 1600 Haddon Ave, Camden, NJ
- 218 Sunset Rd Fl 5, Willingboro, NJ
- 175 Madison Ave, Mount Holly, NJ
- 90 Brick Rd Fl 3, Marlton, NJ
- 100 Bowman Dr Lowr Level1, Voorhees, NJ
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- NJ, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania