Organization
BOSTON WEST CARDIOLOGY
Active
Organization
BOSTON WEST CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIFAT DWEIK MD (PRESIDENT)
(781) 894-1199
Entity
Organization
Contact information
Practice address
20 HOPE AVE STE G07, WALTHAM, MA 02453-2717
(781) 894-1199
(781) 657-6178
Mailing address
20 HOPE AVE STE G07, WALTHAM, MA 02453-2717
(781) 894-1199
(781) 657-6178
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
58014
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058014
TUFTS
MA
05
—
3024792
—
MA
05
—
9710400
—
MA
01
—
M17863
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/30/2013
Last updated
01/30/2013
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