Vengerovich, Gennadiy

Vengerovich, Gennadiy is an individual health care provider with primary practice located at 10150 Hagen Ranch Rd Ste 100 , Boynton Beach FL 33437-3776. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Vengerovich, Gennadiy can be contacted via phone (561) 736-8141.

Contact Information

Primary practice address
10150 Hagen Ranch Rd Ste 100 Boynton Beach FL 33437-3776
Phone: (561) 736-8141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X ME116592 Florida
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME116592 New York

Profile Details

NPI number 1477708907
LBN Legal business name Vengerovich, Gennadiy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2008
Last updated Oct 18th, 2023 - about 2 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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