Fradkov, Elena
Fradkov, Elena is an sole proprietor health care provider with primary practice located at 300 Mount Auburn St , Cambridge MA 02138-5600. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Fradkov, Elena can be contacted via phone (617) 492-3500.Contact Information
Primary practice address
300 Mount Auburn St
Cambridge MA 02138-5600
Phone: (617) 492-3500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301114431 | Michigan |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 285922 | Massachusetts |
Profile Details
NPI number | 1326438953 |
---|---|
LBN Legal business name | Fradkov, Elena |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 3rd, 2015 |
Last updated | Jun 24th, 2021 - about 4 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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