Individual
OLGA KUZNETSOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 NEVINS ST STE 403, BRIGHTON, MA 02135-3514
(617) 789-2102
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
276641
MA
Other
Enumeration date
06/27/2018
Last updated
03/17/2025
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