Healthcare Provider Details

I. General information

NPI: 1760328736
Provider Name (Legal Business Name): DR. PAUL BUWEMBO WASSWA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 BOSTON RD
CHELMSFORD MA
01824-3013
US

IV. Provider business mailing address

5B SAMANTHA LN
AYER MA
01432-1440
US

V. Phone/Fax

Practice location:
  • Phone: 978-256-2577
  • Fax:
Mailing address:
  • Phone: 978-401-6772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1003139
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: