Dr. Edward Robert Wassman JR.
Pediatrician Clinical Genetics (M.D.)
90 W Shore Dr
Marblehead
, Massachusetts 01945-1208
Dr. Edward Robert Wassman JR.
Pediatrician Clinical Genetics (M.D.)
90 W Shore Dr
Marblehead
, Massachusetts 01945-1208
(562) 500-5197
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Edward Robert Wassman JR.
- 90 West Shore Drive
- Marblehead, MA
- Zip : 01945
- Phone : (562) 500-5197
Second Address
- Dr. Edward Robert Wassman JR.
- 90 W Shore Dr
- Marblehead, MA
- Zip : 01945-1208
- Phone : (562) 500-5197
Reviews
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Is Dr. Edward Robert Wassman JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207SG0201X | Clinical Genetics (M.D.) | 41719 | CT |
| N | 207SG0201X | Clinical Genetics (M.D.) | G040633 | CA |
| N | 207SG0201X | Clinical Genetics (M.D.) | ME80666 | FL |
| N | 208000000X | Pediatrician | 30741 | AZ |
National Provider Identifier
| NPI | 1396966735 |
|---|---|
| Provider Name | Dr. Edward Robert Wassman JR. |
| First Address | Marblehead, MA 01945 |
| Second Address | Marblehead, MA 01945-1208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2007 |
| Last Update Date | 16/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E91615 | (02) | CA |
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.