Individual
MAYA B KOTLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 CAMBRIDGE STR, ST ELIZABETH HOSPITAL MC, BOSTON, MA 02135
(617) 789-3000
Mailing address
121 LAKE SHORE RD, #3, BRIGHTON, MA 02135
(617) 787-2445
(617) 787-2445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59469
MA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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