Individual
DR. MAXIM I LUTSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215
(617) 421-1000
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 421-6540
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
229171
MA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
239932
MA
2080P0201X
Pediatric Allergy/Immunology Physician
239932
MA
Other
Enumeration date
06/02/2008
Last updated
06/04/2018
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