Individual
MARIJA ZHUKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2666
(401) 490-7534
Mailing address
PO BOX 6064, PROVIDENCE, RI 02940-6064
(401) 490-7551
(401) 490-7534
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD13636
RI
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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