GENNADIY FUZAYLOV

BOSTON, MA
NPI1720079627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MA  210490)
Enumeration Date2005-10-31
Last Update Date2007-07-08
Business Address
Dr. GENNADIY FUZAYLOV MD
55 FRUIT ST CLN 309
BOSTON, MA 02114-2696
Phone number: 617-726-3030
Mailing Address
Dr. GENNADIY FUZAYLOV MD
PO BOX 9142
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287