Nazarov, Vitaly
Nazarov, Vitaly is an individual health care provider with primary practice located at 100 Maple Ave Ste 1 , Gt Barrington MA 01230-1965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nazarov, Vitaly can be contacted via phone (413) 528-4047.Contact Information
Primary practice address
100 Maple Ave Ste 1
Gt Barrington MA 01230-1965
Phone: (413) 528-4047
Fax: (413) 528-3407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 233988 | Massachusetts |
Profile Details
| NPI number | 1811165350 |
|---|---|
| LBN Legal business name | Nazarov, Vitaly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Dec 17th, 2014 - about 10 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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