Organization
BOSTON WEST CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIFAT B DWEIK M.D. (PRESIDENT)
(781) 894-1199
Entity
Organization
Contact information
Practice address
20 HOPE AVE, SUITE G07, WALTHAM, MA 02453-2721
(781) 894-1199
Mailing address
20 HOPE AVE, SUITE G07, WALTHAM, MA 02453-2721
(781) 894-1199
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
05
—
9710400
—
MA
01
—
AA23500
PILGRIM
MA
01
—
M19273
BLUE SHIELD
MA
Enumeration date
06/29/2006
Last updated
11/13/2015
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