Individual
LAURA KRIVICICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5172
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(708) 310-9865
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
293167
MA
Other
Enumeration date
04/05/2022
Last updated
06/21/2022
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