Wasserman, Bruce

Wasserman, Bruce is an individual health care provider with primary practice located at 22 S Greene St Dept Of Radiology, Baltimore MD 21201-1544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wasserman, Bruce can be contacted via phone (410) 328-3477.

Contact Information

Primary practice address
22 S Greene St Dept Of Radiology Baltimore MD 21201-1544
Phone: (410) 328-3477
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X D52095 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D52095 Maryland

Profile Details

NPI number 1023054608
LBN Legal business name Wasserman, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Mar 3rd, 2021 - about 5 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 1023054608 NPPES
Maryland MEDICAID 026300100
Maryland MEDICAID 016257078

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