Individual
VLADISLAV V MAKARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-2885
Mailing address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-2885
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
282359
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
282359
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110118663A
—
MA
Enumeration date
04/06/2016
Last updated
10/07/2022
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