Individual
DR. KENNETH MINKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 POWDERMILL RD # 319, ACTON, MA 01720-5932
(978) 502-1729
(415) 455-8016
Mailing address
100 POWDERMILL RD # 319, ACTON, MA 01720-5932
(978) 502-1729
(415) 455-8016
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
39497
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045915
—
MA
Enumeration date
09/02/2005
Last updated
11/29/2010
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