Individual
CHRISTIAN MEWALDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 HANCOCK ST APT 3, CAMBRIDGE, MA 02139
(304) 544-8747
Mailing address
1943 W OHIO ST, APT 2F, CHICAGO, IL 60622-5508
(304) 544-8747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2730404
MA
Other
Enumeration date
01/17/2015
Last updated
07/12/2018
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