Individual
ILONA CHARVAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., PAC
Contact information
Practice address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 737-6716
(413) 731-9919
Mailing address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 737-6716
(413) 731-9919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5248
MA
Other
Enumeration date
03/03/2015
Last updated
07/13/2016
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