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Individual

DR. MARTIN PAUL WASSERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13200 TRIADELPHIA RD, ELLICOTT CITY, MD 21042-1143
(301) 854-0023
Mailing address
13200 TRIADELPHIA RD, ELLICOTT CITY, MD 21042-1143
(301) 854-0023

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D 11659
MD

Other

Enumeration date
02/24/2011
Last updated
02/24/2011
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