Individual
DR. CHRISTOPHER JOHN KWOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
72994
MA
2086S0129X
Vascular Surgery Physician
Primary
72994
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196649
—
MA
01
—
072994
TUFTS HEALTH PLAN
MA
01
—
J24909
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
07/13/2026
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