Individual
DR. LARRY STEPHEN WASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 OLD ROUTE 7, STE 1A, BROOKFIELD, CT 06804-1714
(203) 740-2881
(203) 740-2111
Mailing address
31 OLD ROUTE 7, STE 1A, BROOKFIELD, CT 06804-1714
(203) 740-2881
(203) 740-2111
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
029504
CT
207RP1001X
Pulmonary Disease Physician
Primary
029504
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001295048
—
CT
Enumeration date
08/23/2005
Last updated
09/21/2018
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