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

Dr. Edward Robert Wassman Jr., MD

Individual provider Clinical Cytogenetics Physician · NPI 1396966735

Dr. Edward Robert Wassman Jr., MD is a Clinical Cytogenetics Physician in Park City, Utah. Practices as a sole proprietor. Licensed in Arizona, California, Connecticut and Florida and 1 more.

Licensed in
AZ, CA, CT, FL, NY
In the registry since
2007
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7482 Pinebrook Rd
Park City, UT 84098-5346
Phone: (562) 500-5197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Molecular Genetics Physician (primary) Taxonomy 207SG0203X · Licence DRN2 (CA)
Clinical Cytogenetics Physician Taxonomy 207SC0300X · Licence 135000 (NY)
Clinical Cytogenetics Physician Taxonomy 207SC0300X · Licence DRNM10 (CA)
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X · Licence G040633 (CA)
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X · Licence 41719 (CT)
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X · Licence ME80666 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 30741 (AZ)

Record details

NPI number1396966735
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 2, 2007
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022