Individual
MARINA AVETISYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
4957 MCPHERSON AVE APT D, SAINT LOUIS, MO 63108-1624
(718) 300-5203
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1024439
MA
Other
Enumeration date
03/21/2019
Last updated
07/08/2025
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