Individual
DARIA RACHELLE HOMENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, BOSTON, MA 02111-1526
(617) 636-5000
Mailing address
750 WASHINGTON ST, BOSTON, MA 02111-1526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
236684
MA
207RG0100X
Gastroenterology Physician
Primary
247144
MA
Other
Enumeration date
07/06/2008
Last updated
07/01/2014
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