Individual
OLEG S YERMAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3300 MAIN ST, 3RD FLOOR, SUITE C&D, SPRINGFIELD, MA 01199-1619
(413) 794-7033
(413) 794-7297
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5466
MA
Other
Enumeration date
05/15/2015
Last updated
09/29/2015
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