Individual
MICHAEL WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-6610
(617) 638-6616
Mailing address
960 MASSACHUSETTS AVE, FLR 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
277865
MA
2085R0202X
Diagnostic Radiology Physician
277865
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110107640A
—
MA
05
—
3117171
—
NH
Enumeration date
04/14/2014
Last updated
03/03/2026
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