Individual
MR. MARK MALCHIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 CAPTAIN EAMES CIR, ASHLAND, MA 01721-3915
(718) 825-4711
Mailing address
169 CAPTAIN EAMES CIR, ASHLAND, MA 01721-3915
(718) 825-4711
Taxonomy
Speciality
Code
Description
License number
State
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
Primary
—
—
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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