Individual
DANIEL W. WEISWASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 MAIN ST, AGAWAM, MA 01001-1838
(413) 789-8010
(413) 789-5171
Mailing address
230 MAIN ST, AGAWAM, MA 01001-1838
(413) 789-8010
(413) 789-5171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
221130
MA
208000000X
Pediatrics Physician
221130
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065142
—
MA
Enumeration date
05/01/2006
Last updated
02/26/2016
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