| NPI | 1477155158 |
|---|---|
| Other Name | MAYA BERDZENISHVILI MD LLC |
| Entity Type | Organization |
| Authorized Contact | MAYA BERDZENISHVILI Owner 617-262-0462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2024-02-19 |