Wasser, Marvin S

Wasser, Marvin S is an sole proprietor health care provider with primary practice located at 496 Pontiac Ave , Cranston RI 02910-3520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wasser, Marvin S can be contacted via phone (401) 461-2150.

Contact Information

Primary practice address
496 Pontiac Ave Cranston RI 02910-3520
Phone: (401) 461-2150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5457 Rhode Island

Profile Details

NPI number 1629055827
LBN Legal business name Wasser, Marvin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629055827 NPPES
Rhode Island MEDICAID C 89710

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