Individual
KONSTANTIN BALONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, # 298, ANESTHESIOLOGY, BOSTON, MA 02111-1552
(617) 636-0544
(617) 636-8384
Mailing address
3 TURNBRIDGE LN, HOPKINTON, MA 01748-1651
(617) 636-0544
(617) 636-8384
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
225664
MA
Other
Enumeration date
04/28/2008
Last updated
12/22/2010
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