Individual
DR. YEVGENIY ROMANOVICH SEMENOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MA
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL - DEPT OF DERMATOLOGY, 55 FRUIT STREET, BOSTON, MA 02114
(617) 724-6973
Mailing address
MASSACHUSETTS GENERAL HOSPITAL - DEPT OF DERMATOLOGY, 55 FRUIT STREET, BOSTON, MA 02114
(617) 724-6973
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
278563
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508208505
—
MD
Enumeration date
07/19/2013
Last updated
09/18/2019
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