Domachevsky, Liran

Domachevsky, Liran is an sole proprietor health care provider with primary practice located at 375 Boylston St , Brookline MA 02445-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Domachevsky, Liran can be contacted via phone (857) 307-0849.

Contact Information

Primary practice address
375 Boylston St Brookline MA 02445-6007
Phone: (857) 307-0849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 248431 Massachusetts

Profile Details

NPI number 1487909412
LBN Legal business name Domachevsky, Liran
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2012
Last updated Jul 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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