Individual
DR. MICHAEL WYMAN KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4308
(617) 876-4344
(800) 804-7454
Mailing address
261 DERBY ST UNIT A, NEWTON, MA 02465-1046
(617) 923-7510
(800) 804-7454
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
233494
MA
208100000X
Physical Medicine & Rehabilitation Physician
A100528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047181
BMC HEALTHNET
MA
01
—
1225236672
FALLON CHP
MA
01
—
12656654
PHCS
MA
05
—
2146738
—
MA
01
—
23-06065
EVERCARE
MA
01
—
3664002
CIGNA
MA
01
—
45188
HEALTH NEW ENGLAND
MA
01
—
9178208
AETNA
MA
01
—
95638907
NETWORK HEALTH
MA
01
—
AA113632
HARVARD PILGRIM HP
MA
01
—
J42759
BLUE CROSS BLUE SHIELD OF MASS
MA
Enumeration date
07/06/2007
Last updated
06/17/2016
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