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Individual

ALEXEI KUDLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 BROOKLINE AVE DEPT OF, BOSTON, MA 02215-5400
(617) 754-9500
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 754-9500

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
281386
MA
208D00000X
General Practice Physician
A123679
CA

Other

Enumeration date
06/23/2011
Last updated
11/22/2019
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