Individual
DR. SOFIA B MELENEVSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
319 ALLSTON ST, SUITE B, BRIGHTON, MA 02135
(617) 734-1300
(617) 734-1330
Mailing address
PO BOX 59037, NEWTON, MA 02459
(853) 301-9842
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
48371
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3009424
—
MA
Enumeration date
01/02/2007
Last updated
07/21/2022
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