Doctor Name: | DR. MARC Y WASSERMAN |
NPI Number: | 1356340467 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036110646 |
Business Practice Address: | 499 E Hampden Ave Ste 360 Englewood, CO - 801132780 |
Business Phone Number: | 3037814485 |
Business Fax Number: | 7202740064 |
Mailing Address: | 499 E Hampden Ave, Ste 360 ENGLEWOOD |
State: | CO |
Postal Code: | 801132780 |
Phone Number: | 3037814485 |
Fax Number: | 7202740064 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036110646 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |