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Individual

DR. EUGENE L VANINOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
280 WASHINGTON ST, SUITE 208, BRIGHTON, MA 02135-3511
(617) 562-1433
(617) 562-8233
Mailing address
280 WASHINGTON ST, SUITE 208, BRIGHTON, MA 02135-3511
(617) 562-1433
(617) 562-8233

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
76335
MA

Other

Enumeration date
02/10/2006
Last updated
01/14/2016
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