Individual
EUGENE I TIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
245659
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
245659
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110096785A
—
MA
05
—
3139894
—
NH
Enumeration date
06/12/2008
Last updated
05/08/2026
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