Individual
SAMUEL WASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 YOUNG AVE STE 320, MOORESTOWN, NJ 08057-3133
(856) 291-8920
(856) 291-8922
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 291-8920
(856) 291-8922
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA04608800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1282603
—
NJ
Enumeration date
08/09/2005
Last updated
11/21/2024
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