Paul L. Wasserman DO
Diagnostic Radiology Physician in Palm Coast, FL(View on Map)
Full Name
Paul Louis Wasserman DO
NPI Number
1699701011
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/25/2006
Specialties
(Taxonomies)Name
Code
2085R0202X
2085B0100X
2085R0204X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
Florida
North Carolina
License Number
OS11113
OS1113
2004-00278
Contact
Information
Purpose
Mailing
Location
Address
60 MEMORIAL MEDICAL PKWY
60 MEMORIAL MEDICAL PKWY
City
Palm Coast
Palm Coast
State
FL
FL
Postal Code
32164-5980
32164-5980
Country
US
US
Telephone Number
(386) 586-2000
(386) 586-2000
Identifiers
Identifier
189353
2038722D
7547722
Q0027M
805973
5901625
139NM
3810008229
P00367349
Identifier State
Unknown
NC
Unknown
SC
Unknown
NC
Unknown
WV
Unknown
Identifier Issuer
MEDCOST
MEDICARE
AETNA
Unknown
PARTNERS
Unknown
BCBS
Unknown
RR MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/07/2022
Provider Address
Other Diagnostic Radiology Physicians in Palm Coast, Florida:
Andre Prince MD
Palm Coast, FLSpecialties: Diagnostic Radiology Physician (Primary)Neuroradiology Physician
Daoud Rahman MD
Palm Coast, FLSpecialties: Diagnostic Radiology Physician (Primary)Internal Medicine Physician
Nadeen Abu Ata M.D
Palm Coast, FLSpecialties: Diagnostic Radiology Physician (Primary)Pediatric Radiology Physician
Luis Gonzalez MD
Palm Coast, FLSpecialties: Diagnostic Radiology Physician (Primary)Student in an Organized Health Care Education/Training Program
Vinay Pai MD
Palm Coast, FLSpecialties: Diagnostic Radiology Physician (Primary)Pediatric Radiology Physician
Dennis Burton M.D.
Palm City, FLSpecialties: Diagnostic Radiology PhysicianNuclear Radiology Physician