Individual
ROBERT I WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1 LAKE ST, NEW BRITAIN, CT 06052-1396
(860) 348-4850
(860) 348-4854
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6231
(860) 224-6260
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
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