Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 40627 | MA |
Y | 207R00000X | Internist | 40627 | MA |
Y | 111NI0900X | Internist | 40627 | MA |
NPI | 1487738084 |
---|---|
Provider Name | Mr. Eng Hwi Kwa |
First Address | Dedham, MA 02026 |
Second Address | Dedham, MA 02026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 11/05/2017 |