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NPI Code Detail

MEDICARE: DR. HERBERT WASSERMAN MD

MEDICARE:  DR. HERBERT  WASSERMAN  MD
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
1208600000XSurgery Physician149646NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932175882
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HERBERT WASSERMAN MD
Provider Business Mailing Address
First Line : 8105 BAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-2513
Country : US
Telephone Number : 718-236-0091
Fax Number : 718-236-0558
Provider Business Practice Location Address
First Line : 8105 BAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-2513
Country : US
Telephone Number : 718-236-0091
Fax Number : 718-236-0558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/08/2007

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