Individual
YURIY ANDRUSYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
88 MONVALE AVE, STONEHAM, MA 02180
(781) 662-6400
(781) 662-2965
Mailing address
88 MONVALE AVE, STONEHAM, MA 02180
(781) 756-7273
(781) 721-0725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
252033
MA
390200000X
Student in an Organized Health Care Education/Training Program
125056657
IL
Other
Enumeration date
08/26/2009
Last updated
03/21/2017
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