Individual
DR. GARY A WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(603) 622-3162
(603) 622-8677
Mailing address
150 TARRYTOWN ROAD, MANCHESTER, NH 03103-2713
(603) 622-3162
(603) 622-8677
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7291
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104466Y0NH01
ANTHEM
NH
05
—
30001529
—
NH
01
—
4201691
AETNA NON-HMO
NH
Enumeration date
09/13/2005
Last updated
08/16/2010
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