Provider Demographics
NPI:1033391289
Name:HAYWARD K ZWERLING
Entity Type:Organization
Organization Name:HAYWARD K ZWERLING
Other - Org Name:LOWELL DIABETES AND ENDOCRINE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYWARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZWERLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-459-0018
Mailing Address - Street 1:20 RESEARCH PL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-2412
Mailing Address - Country:US
Mailing Address - Phone:978-459-0018
Mailing Address - Fax:978-656-9950
Practice Address - Street 1:20 RESEARCH PL
Practice Address - Street 2:SUITE 300
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2412
Practice Address - Country:US
Practice Address - Phone:978-459-0018
Practice Address - Fax:978-656-9950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA58946174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0003315Medicare PIN