Wasserman, Gary A

Wasserman, Gary A is an individual health care provider with primary practice located at 150 Tarrytown Rd , Manchester NH 03103-2713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wasserman, Gary A can be contacted via phone (603) 622-3162.

Contact Information

Primary practice address
150 Tarrytown Rd Manchester NH 03103-2713
Phone: (603) 622-3162
Fax: (603) 622-8677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 7291 New Hampshire

Profile Details

NPI number 1104811595
LBN Legal business name Wasserman, Gary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Aug 16th, 2010 - about 16 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 1104811595 NPPES
New Hampshire Other 4201691 AETNA NON-HMO
New Hampshire MEDICAID 30001529 AETNA NON-HMO
New Hampshire Other 0104466Y0NH01 AETNA NON-HMO

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