Kowaloff, Edward M.

Kowaloff, Edward M. is an individual health care provider with primary practice located at 725 Concord Ave Suite 4100, Cambridge MA 02138-1040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kowaloff, Edward M. can be contacted via phone (617) 864-8822.

Contact Information

Primary practice address
725 Concord Ave Suite 4100 Cambridge MA 02138-1040
Fax: (617) 547-5367
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44238 Massachusetts
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 44238 Massachusetts

Profile Details

NPI number 1437147071
LBN Legal business name Kowaloff, Edward M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Dec 26th, 2012 - about 13 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 1437147071 NPPES
Massachusetts MEDICAID 2071614

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