Chana S Wasserman
Gynecologist Obstetrician
77 Mass Ave Medical E23-395
Cambridge
, Massachusetts 02139-4301
Chana S Wasserman
Gynecologist Obstetrician
77 Mass Ave Medical E23-395
Cambridge
, Massachusetts 02139-4301
(617) 253-0556
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About
Features
Specialties
- Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Chana S Wasserman
- Po Box 425789 Medical E23-395
- Cambridge, MA
- Zip : 02142-0015
- Phone : (617) 253-0556
Second Address
- Chana S Wasserman
- 77 Mass Ave Medical E23-395
- Cambridge, MA
- Zip : 02139-4301
- Phone : (617) 253-0556
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VG0400X | Gynecologist | 154463 | MA |
| Y | 207VX0000X | Obstetrician | 154463 | MA |
National Provider Identifier
| NPI | 1336112291 |
|---|---|
| Provider Name | Chana S Wasserman |
| First Address | Cambridge, MA 02142-0015 |
| Second Address | Cambridge, MA 02139-4301 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/02/2006 |
| Last Update Date | 17/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H77295 | (02) | |
| J24463 | BLUE CROSS (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.