Individual provider · Type 1 NPI

Stanley Wasserman, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Boston, MA

NPI number 1235287905 Active

Practice location

Massachusetts General Hospital, 55 Fruit Street, Bulfinch 119
Boston, MA 02114

Fax (617) 726-1821

Mailing address

105 Baxter Ave
Quincy, MA 02169-5804

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X423 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1235287905

Stanley Wasserman, PHYSICIAN ASSISTANT's National Provider Identifier is 1235287905, issued on Jan 8, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.