Individual
DR. YEVGENIYA FABRIKANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
291 E CENTER ST, WEST BRIDGEWATER, MA 02379-1813
(150) 858-4121
Mailing address
291 E CENTER ST, WEST BRIDGEWATER, MA 02379-1813
(150) 858-4121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
79985
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3126986
—
MA
Enumeration date
10/28/2005
Last updated
12/15/2011
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