Individual
DR. NADIM JIWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB BS
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
275077
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDW961929714
BLUE CROSS
MA
Enumeration date
08/15/2018
Last updated
08/15/2018
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