Organization
MAYA BERDZENISHVILI MD LLC
Active
Other names
Maya Berdzenishvili MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYA BERDZENISHVILI MD (OWNER)
(617) 262-0462
Entity
Organization
Contact information
Practice address
220 COMMONWEALTH AVE APT 4, BOSTON, MA 02116-2510
(617) 262-6402
(617) 262-6402
Mailing address
220 COMMONWEALTH AVE APT 4, BOSTON, MA 02116-2510
(617) 262-6402
(617) 262-6402
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/09/2020
Last updated
02/19/2024
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