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ROBERT I WASSERMAN RPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1053494385
Individual Registrant: ROBERT I WASSERMAN RPT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1 LAKE ST NEW BRITAIN, CT 06052-1396 US
Tel: 860-348-4850 Fax: 860-348-4854
Tel: 860-348-4850 Fax: 860-348-4854
Contact information for business:
300 KENSINGTON AVE NEW BRITAIN, CT 06051-3916 US
Tel: 860-224-6231 Fax: 860-224-6260
Tel: 860-224-6231 Fax: 860-224-6260
Registration Information:
NPI: 1053494385
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CT | 003744 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| US DEPT OF LABOR ID | 104454900 | CT | 01 |
| WELLCARE MEDICARE ONLY | 369641 | CT | 01 |
| 004128163 | CT | 05 | |
| BCBS ID | 080003744CT08 | CT | 01 |
| OXFORD | A426869 | CT | 01 |
| CONNECTICARE | 616784 | CT | 01 |
| HEALTH NET | 2V3997 | CT | 01 |
| GHMC GROUP NPI | 1255448155 | CT | 01 |
| 004264660 | CT | 05 | |
| BC FAMILY PLAN MEDICAID | 080003744CT08 | CT | 01 |
| AETNA ID | 2587255 | CT | 01 |
| CIGNA | 55000009 | CT | 01 |
