Individual
VITALIY KOROBKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9000
Mailing address
20 BELMONT ST, WESTFIELD, MA 01085-2324
(413) 579-1206
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
288275
MA
Other
Enumeration date
06/22/2017
Last updated
06/03/2021
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