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NPI Code Detail

MEDICARE: DANIEL I WASSERMAN M.D.

MEDICARE:   DANIEL I WASSERMAN  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
1207N00000XDermatology Physician230488MA
2207N00000XDermatology PhysicianME107188FL
3207ND0101XMOHS-Micrographic Surgery PhysicianME107188FL

General Provider Information

NPI Number : 1881758977
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL I WASSERMAN M.D.
Provider Business Mailing Address
First Line : 8625 COLLIER BLVD
Second Line :
City : NAPLES
State : FL
Zip : 34114-3550
Country : US
Telephone Number : 239-732-0044
Fax Number : 239-732-0094
Provider Business Practice Location Address
First Line : 8625 COLLIER BLVD
Second Line :
City : NAPLES
State : FL
Zip : 34114-3550
Country : US
Telephone Number : 239-732-0044
Fax Number : 239-732-0094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 12/08/2023

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Directions to “ DANIEL I WASSERMAN M.D.” Practice Location

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