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Individual
RICHARD LAWRENCE WASSERMAN
Active
Individual
RICHARD LAWRENCE WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G4068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346234614
—
TX
01
—
397487ZM3L
MEDICARE PTAN
TX
01
—
940841
MEDICARE PTAN
TX
Enumeration date
09/01/2005
Last updated
11/13/2023
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