Individual
ELIZABETH TKACHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-4918
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5817
(203) 688-4242
(617) 732-4918
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1017520
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
09/17/2024
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