Individual
DR. MERIT ESTER CUDKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 836, BOSTON, MA 02114-3117
(617) 724-1873
(617) 724-7290
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-3914
(617) 726-5346
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
79167
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3151484
—
MA
01
—
724886
TUFTS HEALTH PLAN
MA
01
—
J31960
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
07/26/2012
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