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NPI Code Detail

MEDICARE: DR. ALLISON PAULINE GUREY WASSERSTEIN M.D.

MEDICARE: DR. ALLISON PAULINE GUREY WASSERSTEIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician25MA08297700NJ

General Provider Information

NPI Number : 1740302249
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLISON PAULINE GUREY WASSERSTEIN M.D.
Provider Business Mailing Address
First Line : 51 WEST DR
Second Line :
City : LIVINGSTON
State : NJ
Zip : 07039-3523
Country : US
Telephone Number : 973-535-5892
Fax Number :
Provider Business Practice Location Address
First Line : 85 WOODLAND RD
Second Line :
City : SHORT HILLS
State : NJ
Zip : 07078-2449
Country : US
Telephone Number : 973-379-2488
Fax Number : 973-379-7659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/22/2019

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