Healthcare Provider Details

I. General information

NPI: 1841290962
Provider Name (Legal Business Name): ADAM IRA WASSERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 GETTYS ST
GETTYSBURG PA
17325-2534
US

IV. Provider business mailing address

600 MEMORY LN
YORK PA
17402-2234
US

V. Phone/Fax

Practice location:
  • Phone: 717-337-4168
  • Fax: 717-337-4249
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-042602L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberBW2398546
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD042602L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD042602L
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberBW2398546
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: