Individual
DR. DMITRIY GRIGORIY AKSELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-2030
(802) 847-8493
Mailing address
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-2030
(802) 847-8493
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042.0012073
VT
2085R0202X
Diagnostic Radiology Physician
M-12281
ID
2085R0202X
Diagnostic Radiology Physician
MD60346655
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629241336
—
ID
01
—
318285
LNI PROVIDER ID
WA
01
—
322483
LNI PROVIDER ID
WA
01
—
322484
LNI PROVIDER ID
WA
Enumeration date
04/02/2008
Last updated
05/08/2017
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