Individual
DR. SERGUEI ROUMIANTSEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, FOUNDERS 5-526A, BOSTON, MA 02114-2621
(617) 724-9040
Mailing address
11 TARA RD, SOUTHBOROUGH, MA 01772-1444
(508) 481-4204
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
15890
NH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
228131
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083822
—
NH
Enumeration date
05/27/2006
Last updated
07/09/2020
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