Individual
MRS. ELENA KAMANETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 457-3062
Mailing address
15 BELLINGHAM DR, CHESTNUT HILL, MA 02467-3246
(617) 232-3041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50440
MA
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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