Wasserman, Richard

Wasserman, Richard is an individual health care provider with primary practice located at 1 S Prospect St , Burlington VT 05401-3456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wasserman, Richard can be contacted via phone (802) 847-4544.

Contact Information

Primary practice address
1 S Prospect St Burlington VT 05401-3456
Phone: (802) 847-4544
Fax: (802) 847-4612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42-6028 Vermont

Profile Details

NPI number 1902825201
LBN Legal business name Wasserman, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902825201 NPPES
Other BCBS0005609 BLUE CROSS BLUE SHIELD
Other C65398 BLUE CROSS BLUE SHIELD
MEDICAID 0005600 BLUE CROSS BLUE SHIELD
MEDICAID 00775402 BLUE CROSS BLUE SHIELD

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