Provider Demographics
NPI:1437742368
Name:ERW CMF, PLLC
Entity Type:Organization
Organization Name:ERW CMF, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OMFS
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 STE 304
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4648
Mailing Address - Country:US
Mailing Address - Phone:508-424-2525
Mailing Address - Fax:508-424-2528
Practice Address - Street 1:405 COCHITUATE RD STE 304
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4648
Practice Address - Country:US
Practice Address - Phone:508-424-2525
Practice Address - Fax:508-424-2528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1659781888OtherPERSONAL PROVIDER NPI
MA1932226594OtherPREVIOUS ORGANIZATIONAL NPI