Provider Demographics
NPI:1033541214
Name:WASSERSTEIN, DAVID N (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:N
Last Name:WASSERSTEIN
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 1:2075 BAYVIEW AVENUE
Mailing Address - Street 2:ROOM MG301
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M4N3M5
Mailing Address - Country:CA
Mailing Address - Phone:416-480-5798
Mailing Address - Fax:
Practice Address - Street 1:SUNNYBROOK HEALTH SCIENCES CENTRE
Practice Address - Street 2:2075 BAYVIEW AVENUE, MG305
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M4N3M5
Practice Address - Country:CA
Practice Address - Phone:416-480-5798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ86696207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine