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Individual

MR. ZACHARY BRIAN WASSERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, CRNP, FNP-C

Contact information

Practice address
711 W 40TH ST STE 173, BALTIMORE, MD 21211-2147
(443) 961-1221
(443) 965-9780
Mailing address
711 W 40TH ST STE 173, BALTIMORE, MD 21211-2147
(443) 961-1221
(443) 965-9780

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R227875
MD

Other

Enumeration date
07/28/2021
Last updated
03/25/2022
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