Provider Demographics
NPI:1275126245
Name:ERW CMF, PLLC
Entity Type:Organization
Organization Name:ERW CMF, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARDIUS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-207-9472
Mailing Address - Street 1:405 COCHITUATE RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701
Mailing Address - Country:US
Mailing Address - Phone:508-424-2525
Mailing Address - Fax:504-424-2528
Practice Address - Street 1:405 COCHITUATE RD
Practice Address - Street 2:SUITE 304
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701
Practice Address - Country:US
Practice Address - Phone:508-424-2525
Practice Address - Fax:504-424-2528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty