Doctor Name: | DR. JEFFREY S WASSER |
NPI Number: | 1396714507 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 021052 |
Business Practice Address: | 263 Farmington Ave Uconn Cancer Center Farmington, CT - 060302875 |
Business Phone Number: | 8606792100 |
Business Fax Number: | 8606794815 |
Mailing Address: | 37 Sass Drive, MANCHESTER |
State: | CT |
Postal Code: | 060422243 |
Phone Number: | 8607164260 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 05/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 021052 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
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. |