Provider Demographics
NPI:1902877913
Name:WASSER, ARTHUR H (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:H
Last Name:WASSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 NORTH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4147
Mailing Address - Country:US
Mailing Address - Phone:413-499-8590
Mailing Address - Fax:413-499-6410
Practice Address - Street 1:777 NORTH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4147
Practice Address - Country:US
Practice Address - Phone:413-499-8590
Practice Address - Fax:413-499-6410
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA31409174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY687342OtherCDPHP
NY00706276Medicaid
MAB74038OtherHARVARD PILGRIM HEALTHCAR
MA17580OtherHEALTH NEW ENGLAND
MAG10004OtherBCBSMA
MA751300OtherTUFTS HEALTHPLAN
MA0191302Medicaid
NY391500OtherMVP
NY00706276Medicaid
MA751300OtherTUFTS HEALTHPLAN