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1720079627
GENNADIY FUZAYLOV
BOSTON, MA
NPI
1720079627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MA 210490)
Enumeration Date
2005-10-31
Last Update Date
2007-07-08
Business Address
Dr. GENNADIY FUZAYLOV MD
55 FRUIT ST CLN 309
BOSTON, MA 02114-2696
Phone number: 617-726-3030
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Mailing Address
Dr. GENNADIY FUZAYLOV MD
PO BOX 9142
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287
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