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Individual

BARRY N WASSERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 COOPER PLZ RM 200, CAMDEN, NJ 08103-1438
(856) 342-2001
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA06022300
NJ
207W00000X
Ophthalmology Physician
MD062901L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0399372000
INDEPENDENCE B/C
NJ
01
1117826
HORIZON NJ HEALTH
NJ
01
2300970
AETNA HMO
NJ
01
2K1973
HEALTH NET
NJ
01
407203
AMERIHEALTH
NJ
01
5791562
AETNA
NJ
05
8170801
NJ
Enumeration date
06/28/2005
Last updated
04/01/2025
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