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Contact Information

JEFFREY TWAROG, ED.D.
109 ROOSEVELT RD
COTUIT, MA02635-2713
 Phone: 508-428-4307
 Fax: 508-420-5542
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEFFREY TWAROG · (Male)

NPI # 1013082239
Status Active
Credentials ED.D.
Entity Individual
Enumeration date 11/22/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 1852
  • MA Medicaid 0504467
  • MA Other W02010 BLUE CROSS BLUE SHIELD MA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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