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Individual

DR. ERIC L WASSERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1275 SUMMER ST, SUITE 200, STAMFORD, CT 06905-5359
(203) 978-0800
(203) 674-8519
Mailing address
1275 SUMMER ST, SUITE 200, STAMFORD, CT 06905-5359
(203) 978-0800
(203) 674-8519

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
028681
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180000379
PTAN
CT
Enumeration date
07/13/2005
Last updated
01/15/2013
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