Individual
RUSLAN MAMEDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
67 S BEDFORD ST STE 101W, BURLINGTON, MA 01803-5152
(617) 865-9445
Mailing address
39 PRESCOTT ST APT 1, SOMERVILLE, MA 02143-1713
(201) 888-0155
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
MA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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