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1821748971
MAKSIM BAKRENEV
BRONX, NY
NPI
1821748971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
-- MAKSIM BAKRENEV MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-430-3166
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Mailing Address
-- MAKSIM BAKRENEV MD
1512 PINE ST APT 2R
PHILADELPHIA, PA 19102-4659
Phone number: 267-697-2713
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