Organization
NEW HORIZONS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANANTS ANTONEVICH MD (OWNER/PRESIDENT)
(617) 202-9222
Entity
Organization
Contact information
Practice address
1180 BEACON ST, SUITE 3C, BROOKLINE, MA 02446-3885
(617) 202-9222
(617) 879-0933
Mailing address
1180 BEACON ST, SUITE 3C, BROOKLINE, MA 02446-3885
(617) 202-9222
(617) 879-0933
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
02/27/2014
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