Individual
DR. KENNETH E WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1817 SOUTH BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 334-1300
(215) 334-0549
Mailing address
1817 SOUTH BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 334-1300
(215) 334-0549
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD031626E
PA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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