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ROBERT I WASSERMAN RPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1053494385

Individual Registrant:
 ROBERT I WASSERMAN RPT
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

Contact information for business:
300 KENSINGTON AVE  NEW BRITAIN, CT 06051-3916 US
Tel: 860-224-6231  Fax: 860-224-6260

Registration Information:
NPI: 1053494385
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT003744

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
US DEPT OF LABOR ID104454900CT01
WELLCARE MEDICARE ONLY369641CT01
004128163CT05
BCBS ID080003744CT08CT01
OXFORDA426869CT01
CONNECTICARE616784CT01
HEALTH NET2V3997CT01
GHMC GROUP NPI1255448155CT01
004264660CT05
BC FAMILY PLAN MEDICAID080003744CT08CT01
AETNA ID2587255CT01
CIGNA55000009CT01




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