Individual
DR. IVAN MELNYCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6861
Mailing address
93 CENTRE ST APT 1, BROOKLINE, MA 02446-2801
(617) 919-2313
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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