Individual
KONSTANTIN V BAZAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
244 CONCORD RD, WAYLAND, MA 01778
(781) 856-2747
(781) 856-2747
Mailing address
244 CONCORD RD, WAYLAND, MA 01778-1208
(781) 856-2747
(781) 856-2747
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
PENDING
MA
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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