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Individual

NELLIE KONNIKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
150 S HUNGTINGTON AVE, BOSTON, MA 02130
(857) 364-4757
(857) 364-6604
Mailing address
150 S HUNGTINGTON ST, BOSTON, MA 02130
(857) 364-4757
(857) 364-6604

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MA
207NS0135X
Procedural Dermatology Physician
Primary
50447
MA

Other

Enumeration date
09/05/2006
Last updated
07/21/2022
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