Wasser, Larry Stephen

Wasser, Larry Stephen is an sole proprietor health care provider with primary practice located at 31 Old Route 7 Ste 1A, Brookfield CT 06804-1714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Wasser, Larry Stephen can be contacted via phone (203) 740-2881.

Contact Information

Primary practice address
31 Old Route 7 Ste 1A Brookfield CT 06804-1714
Phone: (203) 740-2881
Fax: (203) 740-2111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 029504 Connecticut
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 029504 Connecticut

Profile Details

NPI number 1124011457
LBN Legal business name Wasser, Larry Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Sep 21st, 2018 - about 6 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 1124011457 NPPES
Connecticut MEDICAID 001295048

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