NPI | 1124418058 |
---|---|
Doing Business As | DR. NOVIKOV WELLNESS AND SKIN CARE |
Entity Type | Organization |
Authorized Contact | MIKHAIL NOVIKOV Medical Director 508-936-1657 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MA 241998) |
Enumeration Date | 2015-01-30 |
Last Update Date | 2020-03-20 |