Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kenneth E Wasserman MD PC

Organization Dermatology Physician · NPI 1528080512

Kenneth E Wasserman MD PC provides Dermatology Physician services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1817 S Broad St
Philadelphia, PA 19148-2115
Phone: (215) 334-1300
Fax: (215) 334-0549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD031626E (PA)

Record details

NPI number1528080512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Wasserman — President · (215) 334-1300
NPI enumeratedJuly 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1817 South Broad St, Philadelphia, PA 19148-2115

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