Individual
TATYANA KARCHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 729-0181
Mailing address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 729-0181
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015942
ME
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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