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Paul Louis Wasserman, DO
Diagnostic Radiology Physician in Palm Coast, Florida
NPI 1699701011

Paul Louis Wasserman is a Diagnostic Radiology Physician based in Palm Coast, FL and is specialized in Diagnostic Radiology. Paul Louis Wasserman practices in Palm Coast, FL and has the professional credentials of DO. The NPI Number for Paul Louis Wasserman is 1699701011 and holds a License No. 2004-00278 (Florida).

The current practice location address for Paul Louis Wasserman is 60 Memorial Medical Pkwy, Palm Coast, FL and can be reached out via phone at 386-586-2000 and via fax at 317-705-5047.

Location: 60 Memorial Medical Pkwy, Palm Coast, FL, 32164-5980
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699701011
Provider Name
Paul Louis Wasserman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
60 Memorial Medical Pkwy, Palm Coast, FL, 32164-5980
Phone Number
386-586-2000
Fax Number
317-705-5047
Provider Enumeration Date
06/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
189353 01 MEDCOST
2038722D 01 NC MEDICARE
7547722 01 AETNA
Q0027M 05 SC
805973 01 PARTNERS
5901625 05 NC
139NM 01 BCBS
3810008229 05 WV
P00367349 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
60 Memorial Medical Pkwy
City
Palm Coast
State
Florida
Zip
32164-5980
Phone Number
386-586-2000
Fax Number
317-705-5047
person
Provider Business Mailing Address Details
Address
60 Memorial Medical Pkwy
City
Palm Coast
State
Florida
Zip
32164-5980
Phone Number
386-586-2000
Fax Number
317-705-5047
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
2004-00278 (North Carolina)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
OS1113 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
2004-00278 (North Carolina)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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