Individual
DR. IRINA A GURYANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9 HOPE AVE, SUITE 500, WALTHAM, MA 02453-2741
(781) 647-6786
(781) 647-6753
Mailing address
10 MOHEGAN RD, ACTON, MA 01720-2535
(978) 302-0207
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
202946
MA
2084P0800X
Psychiatry Physician
ME 97170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202946
MA LICENSE #
MA
Enumeration date
05/04/2006
Last updated
03/19/2008
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