Makarenko, Vladislav V

Makarenko, Vladislav V is an individual health care provider with primary practice located at 81 Highland Ave , Salem MA 01970-2714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Makarenko, Vladislav V can be contacted via phone (978) 354-2885.

Contact Information

Primary practice address
81 Highland Ave Salem MA 01970-2714
Phone: (978) 354-2885
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 282359 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 282359 Massachusetts

Profile Details

NPI number 1902260961
LBN Legal business name Makarenko, Vladislav V
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2016
Last updated Oct 7th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902260961 NPPES
Massachusetts MEDICAID 110118663A

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