Individual
VLADIMIR ODINETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
399 BOYLSTON ST, BOSTON, MA 02116-3305
(857) 416-9218
(617) 691-5274
Mailing address
399 BOYLSTON ST, BOSTON, MA 02116-3305
(574) 169-2188
(617) 691-5274
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MCS002361J
MA
363AM0700X
Medical Physician Assistant
Primary
PA8660
MA
363AM0700X
Medical Physician Assistant
PAT
TX
Other
Enumeration date
01/09/2015
Last updated
03/17/2025
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