Individual
DR. OLEG VICTOROVICH EVGENOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
55 FRUIT ST, CRB444, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
213 VIRGINIA FARME LN, CARLISLE, MA 01741-1343
(978) 390-4930
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
229154
MA
Other
Enumeration date
03/29/2007
Last updated
05/19/2010
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