Individual
BORIS GUTKOVSKY
Active
Individual
BORIS GUTKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT1
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CPT9570
CA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
Update your record
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