Individual
GEVORK N MNATZAKANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-6110
(617) 732-6304
Mailing address
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-6110
(617) 732-6304
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
254564
MA
2085R0202X
Diagnostic Radiology Physician
Primary
254564
MA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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