Organization
JEFFREY P WASSERSTROM MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY P WASSERSTROM MD (PRESIDENT)
(619) 698-1088
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 551, LA MESA, CA 91942-3020
(619) 698-1088
(619) 698-1189
Mailing address
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 551, LA MESA, CA 91942-3020
(619) 698-1088
(619) 698-1189
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G54813
CA
Other
Enumeration date
03/26/2012
Last updated
04/10/2012
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