Provider Demographics
NPI:1598927873
Name:CARDOSO, MEGAN ZWINGELBERG (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ZWINGELBERG
Last Name:CARDOSO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:SUE
Other - Last Name:ZWINGELBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 OVERLOOK RIDGE DR APT 220
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-1137
Mailing Address - Country:US
Mailing Address - Phone:781-853-8339
Mailing Address - Fax:
Practice Address - Street 1:11 OVERLOOK RIDGE DR APT 220
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-1137
Practice Address - Country:US
Practice Address - Phone:781-853-8339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA236979208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics