Individual
RICHARD J. WASSERMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 BLANDING ST, COLUMBIA, SC 29201-2816
(803) 779-1200
(803) 779-1220
Mailing address
1220 BLANDING ST, COLUMBIA, SC 29201-2816
(803) 779-1200
(803) 779-1220
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
19438
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3494
—
SC
Enumeration date
05/16/2006
Last updated
07/08/2007
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