Individual provider · Type 1 NPI

Paul Louis Wasserman, DO

Diagnostic Radiology Physician · Palm Coast, FL

NPI number 1699701011 Active

Practice location

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980

Fax (317) 705-5047

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100X2004-00278 (NC)
Body Imaging Physician 2085B0100XOS1113 (FL)
Diagnostic Radiology Physician 2085R0202X2004-00278 (NC)
Vascular & Interventional Radiology Physician 2085R0204XOS11113 (FL)
Vascular & Interventional Radiology Physician 2085R0204X2004-00278 (NC)
Diagnostic Radiology Physician Primary 2085R0202XOS11113 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1699701011

Paul Louis Wasserman, DO's National Provider Identifier is 1699701011, issued on Jun 25, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Palm Coast, FL. The record was last updated on Sep 7, 2022.