ELVIRA K BELENKY

BRAINTREE, MA
NPI1316901507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  473)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: MA  473)
Enumeration Date2006-04-14
Last Update Date2007-07-08
Business Address
-- ELVIRA K BELENKY PA
111 GROSSMAN DR
BRAINTREE, MA 02184-4997
Phone number: 781-849-1000
Mailing Address
-- ELVIRA K BELENKY PA
147 MILK ST PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8053
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