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Individual

DR. RIFAT B DWEIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20 HOPE AVE, SUITE G07, WALTHAM, MA 02453-2721
(781) 894-1199
(781) 647-6178
Mailing address
20 HOPE AVE, SUITE G07, WALTHAM, MA 02453-2721
(781) 894-1199
(781) 647-6178

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
58014
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0096113
AETNA
MA
01
058014
TUFTS
MA
01
060018689
RAILROAD MEDICARE
MA
01
25-02894
EVERCARE
MA
05
3024792
MA
01
3511NEMC
PILGRIM
MA
01
M17863
BLUE SHIELD
MA
Enumeration date
07/04/2006
Last updated
07/29/2014
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