Individual
DR. RONALD E WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 W CHEW ST, SIGAL CENTER 2ND FLOOR, ALLENTOWN, PA 18102-3434
(610) 776-5491
(610) 606-4432
Mailing address
421 W CHEW ST, ALLENTOWN, PA 18102-3406
(610) 776-5100
(610) 663-3113
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD015042E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007104260009
—
PA
01
—
0040483000
IBC
—
01
—
105391
HIGHMARK BLUE SHIELD
—
01
—
20040942
AMERIHEALTH MERCY
—
01
—
50050305
CBC
—
Enumeration date
10/24/2005
Last updated
09/10/2010
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