Individual
BRETT L WASSERLAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 JOLLEY DR, BLOOMFIELD, CT 06002-3062
(860) 242-3000
(860) 286-9547
Mailing address
35 JOLLEY DR, BLOOMFIELD, CT 06002-3062
(860) 242-3000
(860) 286-9547
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
041794
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001417949
—
CT
Enumeration date
04/12/2006
Last updated
07/18/2016
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