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NPI Code Detail

MEDICARE: WASSIM ASSAF MD

MEDICARE: WASSIM ASSAF 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
1207R00000XInternal Medicine Physician265574MA
2207RS0012XSleep Medicine (Internal Medicine) Physician265574MA

General Provider Information

NPI Number : 1548400278
Entity Type Code : Individual
Provider Name (Legal Business Name) : WASSIM ASSAF MD
Provider Business Mailing Address
First Line : PO BOX 415348
Second Line :
City : BOSTON
State : MA
Zip : 02241-5348
Country : US
Telephone Number : 800-225-8885
Fax Number : 508-334-1977
Provider Business Practice Location Address
First Line : 48 AUBURN ST STE 1
Second Line :
City : AUBURN
State : MA
Zip : 01501-2438
Country : US
Telephone Number : 774-772-7058
Fax Number : 774-772-7059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2009
Last Update Date : 02/03/2021

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