Individual
BRIAN WASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 FARLEY RD, BRUNSWICK, ME 04011-2642
(207) 725-8079
Mailing address
6 FARLEY RD, BRUNSWICK, ME 04011-2642
(207) 725-8079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24610
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
VT
Other
Enumeration date
03/28/2017
Last updated
06/25/2021
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