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Dr. Jack Wasserman, MD
Family Medicine Physician in San Diego, California
NPI 1306914783

Jack Wasserman is a Family Medicine Physician based in San Diego, CA. Jack Wasserman practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Jack Wasserman is 1306914783 and holds a License No. G30311 (California).

The current practice location address for Jack Wasserman is 9999 Mira Mesa Blvd Ste 104, San Diego, CA and can be reached out via phone at 858-271-6962 and via fax at 858-271-5327.

Location: 9999 Mira Mesa Blvd Ste 104, San Diego, CA, 92131-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306914783
Provider Name
Jack Wasserman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9999 Mira Mesa Blvd Ste 104, San Diego, CA, 92131-1006
Phone Number
858-271-6962
Fax Number
858-271-5327
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G30311 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
9999 Mira Mesa Blvd Ste 104
City
San Diego
State
California
Zip
92131-1006
Phone Number
858-271-6962
Fax Number
858-271-5327
person
Provider Business Mailing Address Details
Address
9999 Mira Mesa Blvd Ste 104
City
San Diego
State
California
Zip
92131-1006
Phone Number
858-271-6962
Fax Number
858-271-5327
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
G30311 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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