Individual
ANATOLY KAZAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 973-5771
Mailing address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 973-5771
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
283419
MA
207P00000X
Emergency Medicine Physician
Primary
MD16801
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110156708A
—
MA
Enumeration date
05/28/2014
Last updated
11/18/2025
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