Individual
DR. MATTHEW WILLIAM WASSERMAN
Active
Individual
DR. MATTHEW WILLIAM WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M0603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175258601
—
TX
01
—
3833498
AETNA HMO
TX
01
—
7825641
AETNA PPO
TX
01
—
8G9744
BCBS PIN
TX
01
—
P01085053
RAILROAD
TX
Enumeration date
01/30/2006
Last updated
04/05/2023
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