Charles Irwin Wasserman


Address: 221 Ridgemede Rd, Suite 104, Baltimore, MD 21210-2900
Phone: 4103380450

Charles Irwin Wasserman (NPI# 1598959678, PAC ID# 9032348404) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1598959678
PAC ID by PECOS 9032348404
Professional Enrollment ID I20140205000396
Full Name Charles Irwin Wasserman
Address 221 Ridgemede Rd
Suite 104
Baltimore
MD 21210-2900
Phone Number 4103380450
Gender M
Medical School BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1969
Primary Specialty PSYCHIATRY
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
221 Ridgemede Rd, Suite 104, Baltimore, MD 21210-2900 4103380450
221 Ridgemede Rd, Baltimore, MD 21210-2900 4103380450

Organization Information

Office Location

Street Address 221 RIDGEMEDE RD
SUITE 104
City BALTIMORE
State MD
Zip 21210-2900

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Competitor

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City BALTIMORE
Zip Code 21210
Specialty PSYCHIATRY
City + Specialty BALTIMORE + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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