Individual
LEONID MIKHAILOVICH SHINCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 275-7500
Mailing address
147 KELTON ST APT 707, ALLSTON, MA 02134-4385
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
219660
MA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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