Individual
DR. IRINA Y MEZHEBOVSKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 SOUTH ST, BROOKLINE, MA 02467-3658
(617) 469-0300
(617) 783-0395
Mailing address
44 HIGHLAND TER, NEEDHAM, MA 02494-3014
(781) 455-6609
(781) 455-6609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
150235
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3171051
—
MA
Enumeration date
04/16/2006
Last updated
07/08/2007
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