DR. EDWARD ROBERT WASSMAN JR. (NPI# 1396966735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396966735 |
| Entity Type | Individual |
| Full Name | DR. EDWARD ROBERT WASSMAN JR. |
| Credential | M.D. |
| Practice Address |
90 W Shore Dr Marblehead MA 01945-1208 |
| Mailing Address |
90 West Shore Drive Marblehead MA 01945 |
| Practice Telephone | 5625005197 |
| Mailing Telephone | 5625005197 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
DRNM10 | CA | Allopathic & Osteopathic Physicians |
| N | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
135000 | NY | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
ME80666 | FL | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
41719 | CT | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
G040633 | CA | Allopathic & Osteopathic Physicians |
| Y | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
DRN2 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 30741 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
90 W SHORE DR |
| City | MARBLEHEAD |
| State | MA |
| Zip Code | 01945-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801372271 | Jill Barri Schwartz | Social Worker | 49 Gerald Rd, Marblehead, MA 01945 | 2018-07-18 |
| 1588075550 | Seaport Chiropractic | Point of Service | 28 Bessom Street, Marblehead, MA 01945 | 2014-05-13 |
| 1295163905 | Jennifer Ann Downey Wolcott | Counselor | 12 Driftwood Rd, Marblehead, MA 01945 | 2013-10-16 |
| 1710320825 | Darcy Gilbo | Mechanotherapist | Integrative Muscular Therapy 40 Tioga Way, Suite 110, Marblehead, MA 01945 | 2013-04-09 |
| 1346597283 | Adam Ciccio | Counselor | 70 Atlantic Avenue, Unit 8, Marblehead, MA 01945 | 2012-08-09 |
| 1346511862 | Mary Macary Demakes | Registered Nurse | 183 Pleasant St, Marblehead, MA 01945 | 2012-01-13 |
| 1164704896 | Amanda Tripp Hayes | Counselor | 2 Cypress St, Marblehead, MA 01945 | 2011-09-20 |
| 1053544817 | Marblehead Community Charter Public School | Local Education Agency (LEA) | 17 Lime Street, Marblehead, MA 01945 | 2009-08-27 |
| 1992973416 | Stuart M Sandfield | Dentist | 47 Atlantic Ave, Marblehead, MA 01945 | 2008-02-19 |
| 1841311065 | Howard Rosenkrantz | Dentist | 203 Humphrey St, Marblehead, MA 01945 | 2007-04-03 |
| Find all providers in zip 01945 | ||||
| Taxonomy Code | 207SG0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Molecular Genetics |
| A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972872174 | Thomas E Mullen | Medical Genetics | 65 Landsdowne St, Laboratory for Molecular Medicine, Cambridge, MA 02139-4232 | 2011-12-19 |
| 1629347968 | Matthew Stewart Lebo | Medical Genetics | 65 Landsdowne St, Cambridge, MA 02139-4232 | 2011-12-15 |
| 1710172598 | Deborah Alexa Sirko-osadsa | Medical Genetics | 3400 Computer Dr, Genzyme Genetics Molecular Diagnostics Laboratory, Westborough, MA 01581-1771 | 2007-09-13 |
| 1093900839 | Zhaoqing Zhou | Medical Genetics | 3400 Computer Dr, Genzyme Genetics, Westborough, MA 01581-1771 | 2007-09-13 |
| 1164617148 | Ruth A Heim | Medical Genetics | 3400 Computer Dr, Molecular Genetics Diagnostic Laboratory, Westborough, MA 01581-1771 | 2007-09-12 |
| 1164617221 | Nicole E. Faulkner Castro | Medical Genetics | 3400 Computer Dr, Genzyme Genetics Mdl, Westborough, MA 01581-1771 | 2007-09-12 |
| 1871787630 | Bernice A Allitto | Medical Genetics | 3400 Computer Dr, Westborough, MA 01581-1771 | 2007-09-04 |
| 1043404627 | Stephanie E Hallam | Medical Genetics | 3400 Computer Dr, Genzyme Genetics Mdl, Westborough, MA 01581-1771 | 2007-08-28 |
| 1538352240 | Elizabeth Mary Rohlfs | Medical Genetics | 3400 Computer Dr, Genzyme Genetics Molecular Diagnostic Laboratory, Westborough, MA 01581-1771 | 2007-08-26 |
| 1952594889 | Narasimhan Nagan | Medical Genetics | 3400 Computer Dr, Genzyme Genetics Molecular Diagnostics Laboratory, Westborough, MA 01581-1771 | 2007-08-23 |
| Find all providers with the same taxonomy | ||||
| City | MARBLEHEAD |
| Zip Code | 01945 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.