MAMUKA GVENTSADZE

BROOKLINE, MA
NPI1841003589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: MA  3017581)
Enumeration Date2025-01-28
Last Update Date2025-01-28
Business Address
MAMUKA GVENTSADZE
6 PARKWAY RD
BROOKLINE, MA 02445-5463
Phone number: 617-416-4203
Mailing Address
MAMUKA GVENTSADZE
6 PARKWAY RD
BROOKLINE, MA 02445-5463
Phone number: 617-416-4203