Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth E Wasserman MD PC

Organization Dermatology Physician · NPI 1528080512

Kenneth E Wasserman MD PC is a Dermatology Physician 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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