Individual
LEWIS DAVID WURGAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
35 WENDELL ST, CAMBRIDGE, MA 02138-1816
(617) 547-3810
Mailing address
35 WENDELL ST, CAMBRIDGE, MA 02138-1816
(617) 547-3810
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3246
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W03365
BCBS
MA
Enumeration date
03/15/2007
Last updated
07/08/2007
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