Individual
DR. ILYA VICTOR BOGORAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
83 HERRICK ST, SUITE 1001, BEVERLY, MA 01915-2757
(978) 922-2226
(978) 922-2269
Mailing address
83 HERRICK ST, SUITE 1001, BEVERLY, MA 01915-2757
(978) 922-2226
(978) 922-2269
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
243242
MA
Other
Enumeration date
09/18/2008
Last updated
09/22/2014
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