Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wasila Mansouri, MD

Individual provider Pediatrics Physician · NPI 1639758089

Wasila Mansouri, MD is a Pediatrics Physician in Walpole, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2021.

Licensed in
MA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1350 Main St
Walpole, MA 02081-1718
Phone: (508) 668-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1019919 (MA)

Record details

NPI number1639758089
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address11 Cooper Ave, Troy, NY 12180-2703

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