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1174109201
IGOR ODINTSOV
BOSTON, MA
NPI
1174109201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-19
Last Update Date
2021-03-19
Business Address
IGOR ODINTSOV MD
75 FRANCIS ST
BOSTON, MA 02115-6106
Phone number: 617-732-5500
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Mailing Address
IGOR ODINTSOV MD
1376 YORK AVE APT 3B
NEW YORK, NY 10021-3423
Phone number: 646-832-0161
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