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Individual

DR. KENNETH B WASSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
43 N GILBERT ST STE 7, TINTON FALLS, NJ 07701-4914
(732) 530-7999
(888) 972-9904
Mailing address
43 N GILBERT ST, SUITE 7, TINTON FALLS, NJ 07701-4913
(732) 530-7999
(732) 530-7998

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA03998000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1251104
NJ
Enumeration date
12/16/2005
Last updated
02/09/2021
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