Individual
ROBERT I WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003744
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004128163
—
CT
05
—
004264660
—
CT
01
—
080003744CT08
BCBS ID
CT
01
—
104454900
US DEPT OF LABOR ID
CT
01
—
1255448155
GHMC GROUP NPI
CT
01
—
2587255
AETNA ID
CT
01
—
2V3997
HEALTH NET
CT
01
—
369641
WELLCARE MEDICARE ONLY
CT
01
—
55000009
CIGNA
CT
01
—
616784
CONNECTICARE
CT
01
—
A426869
OXFORD
CT
Enumeration date
10/23/2006
Last updated
02/21/2008
Update your record
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