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Individual

DR. NADIM JIWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MB BS

Contact information

Practice address
60 FENWOOD RD, BOSTON, MA 02115-6128
(617) 525-7846
Mailing address
74 MORAINE ST, BOSTON, MA 02130-4308
(857) 361-2347

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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