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NPI Code Detail

MEDICARE: DR. DAVID B WAISEL MD

MEDICARE:  DR. DAVID B WAISEL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician77576MA
2207LP3000XPediatric Anesthesiology Physician47671OK
3207LP3000XPediatric Anesthesiology PhysicianC5580KY

General Provider Information

NPI Number : 1104888684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID B WAISEL MD
Provider Business Mailing Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-355-6000
Fax Number :
Provider Business Practice Location Address
First Line : 920 STANTON L YOUNG BLVD STE 1140
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5036
Country : US
Telephone Number : 405-271-4351
Fax Number : 405-271-8665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 05/20/2026

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Directions to “ DR. DAVID B WAISEL MD” Practice Location

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