Individual
MRS. LUDMILLA L TONKONOGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604-3023
(508) 849-5600
Mailing address
21 WACHUSETT VIEW DR, WESTBOROUGH, MA 01581-2647
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
59561
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
59561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18590
BCBSMA
MA
Enumeration date
01/03/2007
Last updated
03/13/2013
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