Wasserman, Evan Guy

Wasserman, Evan Guy is an sole proprietor health care provider with primary practice located at 301 Madison Ave , Lakewood NJ 08701-3266. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wasserman, Evan Guy can be contacted via phone (732) 363-0177.

Contact Information

Primary practice address
301 Madison Ave Lakewood NJ 08701-3266
Phone: (732) 363-0177
Fax: (732) 363-0115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI01303200 New Jersey

Profile Details

NPI number 1679592406
LBN Legal business name Wasserman, Evan Guy
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
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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