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Individual

BORIS M. KRIVITSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 351-3791
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200400535
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
200400535
NC

Other

Enumeration date
01/09/2007
Last updated
09/25/2025
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