Individual
DR. SCOTT MICHAEL WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5238 VIA PISA, NEWBURY PARK, CA 91320-7008
(805) 375-8293
Mailing address
5238 VIA PISA, NEWBURY PARK, CA 91320-7008
(805) 375-8293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AA66175
CA
207RC0000X
Cardiovascular Disease Physician
Primary
AA66175
CA
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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