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Individual

MR. LEONID GRIGORIEVICH ZOLOTNITSKIY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 ADMINISTRATION RD, BRIDGEWATER STATE HOSPITAL, BRIDGEWATER, MA 02324
(508) 279-4500
Mailing address
20 ADMINISTRATION RD, BRIDGEWATER STATE HOSPITAL, BRIDGEWATER, MA 02324
(508) 279-4500

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
227760
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2128543
MA
01
A40427
MEDICARE ID
MA
Enumeration date
08/22/2006
Last updated
03/07/2023
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