Tworetzky, Wayne

Tworetzky, Wayne is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Tworetzky, Wayne can be contacted via phone (617) 355-6793.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-6793
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 160107 Massachusetts

Profile Details

NPI number 1962493817
LBN Legal business name Tworetzky, Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 10th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962493817 NPPES
Missouri MEDICAID 207488602
Missouri MEDICAID 2220400
Missouri MEDICAID WT45410
Missouri MEDICAID 30201476
Missouri MEDICAID 3202780
Missouri MEDICAID 003114064
Missouri MEDICAID 89651332

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