IndividualActive
Jack Wasey, MA MSCI MSC BM BCH
NPI 1831485804 · Pediatric Anesthesiology Physician · Philadelphia, PA
Provider details
- NPI number
- 1831485804
- Entity type
- Individual
- Primary specialty
- Pediatric Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MA MSCI MSC BM BCH
- Sex
- Male
- Sole proprietor
- No
- License
- MT207967 (PA)
Practice location
3401 Civic Center Blvd
Suite 9329
Philadelphia, PA 19104-4319
Phone: (180) 087-9246
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Registry dates
- Enumerated
- 2011-06-28
- Last updated
- 2016-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.