Individual
DR. RONALD E WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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