Individual
DR. JEFFREY S WASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, UCONN CANCER CENTER, FARMINGTON, CT 06030-2875
(860) 679-2100
(860) 679-4815
Mailing address
37 SASS DRIVE, MANCHESTER, CT 06042-2243
(860) 716-4260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
021052
CT
207RH0003X
Hematology & Oncology Physician
Primary
021052
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001210525
—
CT
Enumeration date
03/17/2006
Last updated
05/26/2011
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