Individual
DR. JAMES WASSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 LAKE WRIGHT DR, NORFOLK, VA 23502-1871
(757) 213-5770
(757) 213-5789
Mailing address
26 JACOBS LANE, NEWPORT NEWS, VA 23606
(757) 870-9730
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101024227
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710941505
—
VA
Enumeration date
04/17/2006
Last updated
01/24/2013
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