| Doctor Name: | DR. EDWARD ROBERT WASSMAN |
| NPI Number: | 1396966735 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 135000 |
| Business Practice Address: | 90 W Shore Dr Marblehead, MA - 019451208 |
| Business Phone Number: | 5625005197 |
| Business Fax Number: | |
| Mailing Address: | 90 West Shore Drive, MARBLEHEAD |
| State: | MA |
| Postal Code: | 01945 |
| Phone Number: | 5625005197 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 06/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207SC0300X |
| License Number: | 135000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Medical Genetics |
| Taxonomy Specialization: | Clinical Cytogenetic |
| Taxonomy Definition: | A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. |