Individual
DR. JARED MARK WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
433 HACKENSACK AVE STE 204, HACKENSACK, NJ 07601-6319
(201) 883-1062
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
233407
MA
207Y00000X
Otolaryngology Physician
Primary
25MA08244600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D09303400
CDS
NJ
01
—
P00675979
RAILROAD MEDICARE
NJ
Enumeration date
07/04/2007
Last updated
04/01/2019
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