Wasserman, Justin Ross
Wasserman, Justin Ross is an sole proprietor health care provider with primary practice located at 1111 Avenida Del Circo , Venice FL 34285-4108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Wasserman, Justin Ross can be contacted via phone (941) 484-8222.Contact Information
Primary practice address
1111 Avenida Del Circo
Venice FL 34285-4108
Phone: (941) 484-8222
Fax: (941) 486-3016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036122668 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME106806 | Florida |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ME106806 | Florida |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 036122668 | Illinois |
Profile Details
| NPI number | 1043453970 |
|---|---|
| LBN Legal business name | Wasserman, Justin Ross |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2009 |
| Last updated | Dec 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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