Individual
STEPHEN IRA WASSERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9350 CAMPUS POINT DR, SUITE 2A, LA JOLLA, CA 92037-1300
(858) 657-8322
(858) 534-7517
Mailing address
2361 ALMERIA CT, LA JOLLA, CA 92037-7201
(858) 822-4261
(858) 534-7517
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A23431
CA
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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