Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 54854MASS | MA |
NPI | 1114010311 |
---|---|
Provider Name | David Joseph Kwiatkowski |
First Address | Boston, MA 02115 |
Second Address | Boston, MA 02115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2065256 | AETNA US HEALTHCARE (01) | |
3003396 | (05) | MA |
3004378 | UNITED HEALTH CARE (01) | |
65549 | FALLON COMMUNITY HEALTH P (01) | |
731533 | TUFTS (01) | |
9401470 | CIGNA (01) | |
A56902 | (02) | |
A56902DF | HPHC DFCI ONLY (01) | |
J03059 | BLUE CROSS BLUE SHIELD OF (01) | MA |