Individual
YEVGENIY POPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-5224
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
274887
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110116008A
—
MA
Enumeration date
04/13/2015
Last updated
06/03/2021
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