Organization
JAMES C WASSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C WASSON M.D. (OWNER)
(610) 746-1860
Entity
Organization
Contact information
Practice address
122 S MAIN ST, NAZARETH, PA 18064-2051
(610) 746-1860
(610) 746-5068
Mailing address
122 S MAIN ST, NAZARETH, PA 18064-2051
(610) 746-1860
(610) 746-5068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD056581L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000234P2T
MEDICARE GROUP NUMBER
PA
Enumeration date
08/20/2006
Last updated
12/12/2007
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