Individual
DR. EDWARD M. KOWALOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 CONCORD AVE, SUITE 4100, CAMBRIDGE, MA 02138-1040
(617) 864-8822
(617) 547-5367
Mailing address
319 CABOT ST, NEWTONVILLE, MA 02460-2255
(617) 527-7501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44238
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
44238
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071614
—
MA
Enumeration date
10/07/2005
Last updated
12/26/2012
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