Individual
DR. DENNIS DWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 506-2726
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ETLL-1321
MA
2085R0202X
Diagnostic Radiology Physician
Primary
295306
MA
Other
Enumeration date
06/25/2020
Last updated
05/21/2025
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