Organization
MIKHAIL NOVIKOV MD PC
Active
Other names
Dr. Novikov Wellness and Skin Care
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL NOVIKOV M.D. (MEDICAL DIRECTOR)
(508) 936-1657
Entity
Organization
Contact information
Practice address
318 MAIN STREET, NORTHBOROUGH, MA 01532
(508) 936-1657
(888) 355-3778
Mailing address
10 THADDEUS MASON RD, NORTHBOROUGH, MA 01532-2284
(617) 209-7823
(617) 336-3306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
241998
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110109342A
—
MA
Enumeration date
01/30/2015
Last updated
03/20/2020
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