Individual
KYLE WASSERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(518) 577-4832
Mailing address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10182600
NJ
207P00000X
Emergency Medicine Physician
MD460457
PA
Other
Enumeration date
06/18/2014
Last updated
07/21/2022
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