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Individual

ELENA E SMAGINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15 WEST ST, EAST DOUGLAS, MA 01516-2160
(085) 476-3291
(508) 547-6044
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(008) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
231164
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110076112A
MA
01
J41869
BCBS
MA
Enumeration date
03/09/2007
Last updated
04/18/2024
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