Provider Demographics
NPI:1447424759
Name:WASKIN, HETTY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:HETTY
Middle Name:ANNE
Last Name:WASKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MUENTENER DR
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-1724
Mailing Address - Country:US
Mailing Address - Phone:908-425-3071
Mailing Address - Fax:
Practice Address - Street 1:2015 GALLOPING HILL RD
Practice Address - Street 2:K-15-3-3395
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1310
Practice Address - Country:US
Practice Address - Phone:908-740-2364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32296207RI0200X
NJ25MA07346700207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease