Individual
DMITRY SHIKTOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(508) 271-5054
Mailing address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(508) 271-5054
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
256318
MA
Other
Enumeration date
07/28/2013
Last updated
07/28/2013
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