SearchMassachusetts363A00000X

Kevin Wijewardena

NPI 1053046847 · on the registry since 2022

Practice

Address
588 Longmeadow St
Longmeadow, MA 01106
Phone
(413) 565-1000
Clinicians at this address
211

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts