Individual
DR. EDWARD ROBERT WASSMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7482 PINEBROOK RD, PARK CITY, UT 84098-5346
(562) 500-5197
Mailing address
7482 PINEBROOK RD, PARK CITY, UT 84098-5346
(562) 500-5197
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
135000
NY
207SC0300X
Clinical Cytogenetics Physician
DRNM10
CA
207SG0201X
Clinical Genetics (M.D.) Physician
41719
CT
207SG0201X
Clinical Genetics (M.D.) Physician
G040633
CA
207SG0201X
Clinical Genetics (M.D.) Physician
ME80666
FL
207SG0203X
Clinical Molecular Genetics Physician
Primary
DRN2
CA
208000000X
Pediatrics Physician
30741
AZ
Other
Enumeration date
05/02/2007
Last updated
08/10/2022
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