Larissa Nekhlyudov M.D.

NPI 1053341826 - Internal Medicine - 207R00000X

NPI Details
NPI 1053341826
Gender Female
Enumeration Date 07/04/2006
Last Updated 01/10/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
133 BROOKLINE AVE
6TH FLOOR
BOSTON MA, 02215-3904, US
Phone (617) 421-5804
Fax (617) 421-8865
Business Location
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON MA, 02109-4806, US
Phone (617) 559-8374
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 202502
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According to our database, Larissa Nekhlyudov M.D. NPI is 1053341826, taxonomy code is 207R00000X and license number is 202502, license state is located at Massachusetts. Larissa Nekhlyudov M.D. physically located at 133 Brookline Ave, Boston MA, 02215-3904. NPI Number Larissa Nekhlyudov M.D. has the Individual type.

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1053341826 NPI number is provided on an as is basis without warranty of any kind. 1053341826 is maintained by the National Plan & Provider Enumeration System. The contents of Larissa Nekhlyudov M.D. are for informational purposes only.