Wasserman, Gary D

Wasserman, Gary D is an individual health care provider with primary practice located at 663 Palisade Ave Ste 304 , Cliffside Park NJ 07010-3012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wasserman, Gary D can be contacted via phone (201) 313-1933.

Contact Information

Primary practice address
663 Palisade Ave Ste 304 Cliffside Park NJ 07010-3012
Phone: (201) 313-1933
Fax: (201) 313-9599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA05621000 New Jersey

Profile Details

NPI number 1518049832
LBN Legal business name Wasserman, Gary D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Mar 7th, 2022 - about 2 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 1518049832 NPPES
New Jersey Other 4S9831 EMPIRE BCBS# (75 SOUTH DEAN)
New Jersey Other 4S9833 EMPIRE BCBS# (75 SOUTH DEAN)
New Jersey Other 4S9832 EMPIRE BCBS# (75 SOUTH DEAN)
New Jersey Other 80988 EMPIRE BCBS# (75 SOUTH DEAN)
New Jersey MEDICAID 4562801 EMPIRE BCBS# (75 SOUTH DEAN)
New Jersey Other BS350 EMPIRE BCBS# (75 SOUTH DEAN)
New Jersey Other P00392865 EMPIRE BCBS# (75 SOUTH DEAN)

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