Active NPIIndividual provider

Wissam G Deeb, MD

Psychiatry & Neurology, Neurology in Worcester, Massachusetts

NPI Number1053608182
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
774-442-3687
Last updated
October 24, 2020

Wissam Georges Deeb is a Psychiatry & Neurology, Neurology based in Worcester, MA. Wissam Georges Deeb practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Wissam Georges Deeb is 1053608182 and holds a License No. ME 123972 (FL). The current practice location address for Wissam Georges Deeb is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-2527 and via fax at 774-442-3687.

Provider Profile Details

NPI Number
1053608182
Provider Name
Wissam Georges Deeb
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-334-2527
Fax Number
774-442-3687
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2011
Last Update Date
October 24, 2020
Certification Date
October 24, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-2527
Fax Number
774-442-3687
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number (1)
ME 123972
License State (1)
FL
Taxonomy (1)
Psychiatry & Neurology, Neurology · 2084N0400X
License Number (2)
282261
License State (2)
MA
Taxonomy (2)
Psychiatry & Neurology, Neurology · 2084N0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wissam G Deeb, MD?

The NPI number of Wissam G Deeb, MD is 1053608182. It was assigned on July 11, 2011 and is currently active in the NPPES registry.

What is the specialty of Wissam G Deeb, MD?

Wissam G Deeb, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in FL under license number ME 123972.

Where does Wissam G Deeb, MD practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-2527 (phone) or 774-442-3687 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053608182 directly on the NPPES registry website.

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