Individual
MAYA BERDZENISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1575 CAMBRIDGE STREET, CAMBRIDGE, MA 02138
(617) 876-4344
(617) 234-7913
Mailing address
ONE EMERSON PLACE, 5Q, BOSTON, MA 02114
(617) 670-1054
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
216073
MA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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