Individual
MR. STANLEY WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET, BULFINCH 119, BOSTON, MA 02114
(617) 726-1861
(617) 726-1821
Mailing address
105 BAXTER AVE, QUINCY, MA 02169-5804
(617) 733-3235
(617) 726-1821
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
423
MA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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