Wasserstrom, William R

Wasserstrom, William R is an sole proprietor health care provider with primary practice located at F-1 Brier Hill Court , East Brunswick NJ 08816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wasserstrom, William R can be contacted via phone (732) 238-0804.

Contact Information

Primary practice address
F-1 Brier Hill Court East Brunswick NJ 08816
Fax: (732) 651-8790
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MA42213 New Jersey

Profile Details

NPI number 1194755686
LBN Legal business name Wasserstrom, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Oct 5th, 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 1194755686 NPPES
New Jersey MEDICAID 059860701

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