Individual
DR. NIKOLAI KLEBANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 CUMMINGS CTR STE 311T, BEVERLY, MA 01915-6260
(978) 225-3376
(978) 560-1245
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1014901
MA
Other
Enumeration date
06/05/2019
Last updated
06/17/2024
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