Individual
MR. YURIY KOTSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF NEUROSURGERY, WORCESTER, MA 01655-0002
(508) 334-3721
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
273912
MA
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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