PETR VITKOVSKIY

BOSTON, MA
NPI1467077875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
PETR VITKOVSKIY MD
330 BROOKLINE AVE # RABB2
BOSTON, MA 02215-5400
Phone number: 617-667-3455
Mailing Address
PETR VITKOVSKIY MD
20 BROCK ST APT 2
BRIGHTON, MA 02135-2669
Phone number: