Provider Demographics
NPI:1043517261
Name:WASSERBLY, PAMELA JOAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:JOAN
Last Name:WASSERBLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4656 DICKINSON WAY
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-6526
Mailing Address - Country:US
Mailing Address - Phone:215-794-1365
Mailing Address - Fax:
Practice Address - Street 1:4656 DICKINSON WAY
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-6526
Practice Address - Country:US
Practice Address - Phone:215-794-1365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020975E207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine