Wasser, Jeffrey S

Wasser, Jeffrey S is an individual health care provider with primary practice located at 263 Farmington Ave Uconn Cancer Center, Farmington CT 06030-2875. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Wasser, Jeffrey S can be contacted via phone (860) 679-2100.

Contact Information

Primary practice address
263 Farmington Ave Uconn Cancer Center Farmington CT 06030-2875
Phone: (860) 679-2100
Fax: (860) 679-4815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 021052 Connecticut
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 021052 Connecticut

Profile Details

NPI number 1396714507
LBN Legal business name Wasser, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated May 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396714507 NPPES
Connecticut MEDICAID 001210525

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