Individual
DMITRIY SHLEMANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARDMS
Contact information
Practice address
70 COURT ST. SAME DAY ULTRASOUND, SUITE # 6, WESTFIELD, MA 01085-3521
(413) 642-6373
Mailing address
70 COURT ST. SAME DAY ULTRASOUND, SUITE # 6, WESTFIELD, MA 01085-3521
(413) 642-6373
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
93720
MA
2471V0105X
Vascular Sonography Radiologic Technologist
93720
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
MA
Enumeration date
10/12/2012
Last updated
10/12/2012
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