Wasserman, Bradley Jared

Wasserman, Bradley Jared is an individual health care provider with primary practice located at 1321 Oberlin Rd A, Raleigh NC 27608-2052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wasserman, Bradley Jared can be contacted via phone (919) 828-4747.

Contact Information

Primary practice address
1321 Oberlin Rd A Raleigh NC 27608-2052
Phone: (919) 828-4747
Fax: (919) 828-6765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X North Carolina

Profile Details

NPI number 1619940434
LBN Legal business name Wasserman, Bradley Jared
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1619940434 NPPES
North Carolina MEDICAID 891353G

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