Organization
KENNETH E WASSERMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH E WASSERMAN MD (PRESIDENT)
(215) 334-1300
Entity
Organization
Contact information
Practice address
1817 SOUTH BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 334-1300
(215) 334-0549
Mailing address
1817 SOUTH BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 334-1300
(215) 334-0549
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD031626E
PA
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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