Individual
DR. MICHAEL WAISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5020
Mailing address
1201 S COLLEGEVILLE RD, COLLEGEVILLE, PA 19426-2998
(702) 733-7866
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101258838
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
08128
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
293674
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A179064
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2013
Last updated
11/28/2022
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