Individual
YURY RABOTNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
287458
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
287458
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
61926
CT
390200000X
Student in an Organized Health Care Education/Training Program
01354
ZZ
Other
Enumeration date
04/10/2013
Last updated
07/27/2021
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