Wasserman, Jared Mark

Wasserman, Jared Mark is an individual health care provider with primary practice located at 433 Hackensack Ave Ste 204 , Hackensack NJ 07601-6319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wasserman, Jared Mark can be contacted via phone (201) 883-1062.

Contact Information

Primary practice address
433 Hackensack Ave Ste 204 Hackensack NJ 07601-6319
Phone: (201) 883-1062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 233407 Massachusetts
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 25MA08244600 New Jersey

Profile Details

NPI number 1194923847
LBN Legal business name Wasserman, Jared Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2007
Last updated Apr 1st, 2019 - about 7 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 1194923847 NPPES
New Jersey Other P00675979 RAILROAD MEDICARE
New Jersey Other D09303400 RAILROAD MEDICARE

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