Jeffrey P. Wasserstrom MD PA
Clinic/Center, Ophthalmologic Surgery in West Palm Beach, FL. Organization (NPI-2).
NPI number1568898641
StatusActive
Last updated in NPPESSep 19, 2013
Details
- NPI
- 1568898641
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeffrey P. Wasserstrom MD PA
- Organization subpart
- No
- Enumeration date
- Sep 19, 2013
- Last updated
- Sep 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS0132X | Clinic/Center, Ophthalmologic Surgery | – | – | Yes |
Practice location
2000 Palm Beack Lakes Blvd.Suite 800
West Palm Beach, FL 33409
Phone 561-965-9110
Mailing address
3998 Inland Empire BlvdSuite 100
Ontario, CA 91764-5032
Phone 909-466-1457
Authorized official
Jeffrey P Wasserstorm
President
9094661457
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