Individual
DR. IRINA B. VASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
510 CHAPMAN ST, SUITE 1B, CANTON, MA 02021-2096
(781) 575-1454
(781) 575-1455
Mailing address
510 CHAPMAN ST, CANTON, MA 02021-2096
(781) 575-1454
(781) 575-1455
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1982
MA
213ES0131X
Foot Surgery Podiatrist
Primary
1982
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357863
—
MA
01
—
2700320
UNITED HEALTH CARE
MA
01
—
333065
HPHC
MA
01
—
4523040001
DME
MA
01
—
480033203
RRM
MA
01
—
728979
TUFTS
MA
01
—
980614
AETNA
MA
01
—
B20429901
CIGNA
MA
01
—
Y70960
BCBS
MA
Enumeration date
10/16/2006
Last updated
12/31/2015
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