Individual
WANDA HUSSEIN GASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8094 SANDPIPER CIR, SUITE O, BALTIMORE, MD 21236-4907
(410) 933-3017
Mailing address
2305 S 7TH ST, CAMDEN, NJ 08104-2546
(856) 969-9111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00032500
NJ
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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