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Individual

ALEKSANDER CHUDNOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11 NEVINS ST, SUITE 303, BRIGHTON, MA 02135-3514
(617) 787-8181
Mailing address
11 NEVINS ST, SUITE 303, BRIGHTON, MA 02135-3514
(617) 787-8181

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
233911
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2142937
MA
Enumeration date
07/25/2007
Last updated
12/07/2012
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