Provider Demographics
NPI:1932119005
Name:KWA, SEW-LEONG (MBBS PC)
Entity Type:Individual
Prefix:DR
First Name:SEW-LEONG
Middle Name:
Last Name:KWA
Suffix:
Gender:F
Credentials:MBBS PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2645
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01703-2645
Mailing Address - Country:US
Mailing Address - Phone:508-620-2800
Mailing Address - Fax:508-620-2808
Practice Address - Street 1:115 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6358
Practice Address - Country:US
Practice Address - Phone:508-383-1525
Practice Address - Fax:508-383-1570
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA42224207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA14300OtherFALLON
MA3004023Medicaid
MA23021OtherHARVARD PILGRIM
MAB2021839OtherCIGNA
MA706030OtherTUFTS
MAJ05226OtherBLUE CROSS BLUE SHEILD
MA4351034OtherAETNA
MA14300OtherFALLON
MA3004023Medicaid