Provider Demographics
NPI:1801013818
Name:WASSERMANN, ERIC M (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:M
Last Name:WASSERMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:NATIONAL INSTITUTES OF HEALTH
Mailing Address - Street 2:10 CENTER DR MSC 1440
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1440
Mailing Address - Country:US
Mailing Address - Phone:301-496-0151
Mailing Address - Fax:301-480-2909
Practice Address - Street 1:NATIONAL INSTITUTES OF HEALTH
Practice Address - Street 2:10 CENTER DR MSC 1440
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1440
Practice Address - Country:US
Practice Address - Phone:301-496-0151
Practice Address - Fax:301-480-2909
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA575082084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology