Individual
SERGUEI MELNITCHOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT STREET, COX 630, BOSTON, MA 02114
(617) 643-2031
Mailing address
55 FRUIT STREET, COX 630, BOSTON, MA 02114
(617) 643-2031
(617) 726-5804
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
228237
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
228237
MA
Other
Enumeration date
07/15/2006
Last updated
12/13/2018
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