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Organization

JEFFREY P. WASSERSTROM MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY P WASSERSTORM M.D (PRESIDENT)
(909) 466-1457
Entity
Organization

Contact information

Practice address
2000 PALM BEACK LAKES BLVD., SUITE 800, WEST PALM BEACH, FL 33409
(561) 965-9110
Mailing address
3998 INLAND EMPIRE BLVD, SUITE 100, ONTARIO, CA 91764-5032
(909) 466-1457

Taxonomy

Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary

Other

Enumeration date
09/19/2013
Last updated
09/19/2013
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