Kwolek, Christopher John
Kwolek, Christopher John is an individual health care provider with primary practice located at 15 Parkman St Wac 458, Boston MA 02114-3117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kwolek, Christopher John can be contacted via phone (617) 724-6101.Contact Information
Primary practice address
15 Parkman St Wac 458
Boston MA 02114-3117
Phone: (617) 724-6101
Fax: (617) 726-8700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 72994 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 72994 | Massachusetts |
Profile Details
| NPI number | 1689665309 |
|---|---|
| LBN Legal business name | Kwolek, Christopher John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689665309 | NPPES |
| Massachusetts | Other | J24909 | BCBS MA |
| Massachusetts | Other | 072994 | BCBS MA |
| Massachusetts | MEDICAID | 0196649 | BCBS MA |
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